[Restless legs syndrome in a patient with amputation of both legs].
BACKGROUND
We present the case of a patient who, after amputation of both legs, suffered restless legs syndrome (RLS). This syndrome is characterised by a feeling of agitation in the legs and an overwhelming need to move them.


METHODS
A 62-year-old male patient who visited because of sleep onset and maintenance insomnia. The aetiology of the insomnia was interpreted as being an anxiety-dysthymic syndrome, which improved with suitable medication. Five months later, the patient returned with the same symptoms (onset insomnia). On questioning the patient again, we noticed that he displayed clear symptoms of RLS, despite the absence of both lower limbs. The clinical features were resolved with the administration of ropinirole.


CONCLUSIONS
We do not know of any similar cases, but the scarce amount of knowledge available about RLS makes it likely that many patients with amputations present this problem without any proper diagnosis.
Clínica del Son Estivill, USP Institut Universitari Dexeus, Barcelona, Spain. estivill@ctv.es
E
E
Estivill
V
V
de la Fuente-Pañell
F
F
Segarra-Isern
J
J
Albares-Tendero
D000671:Amputation, Surgical; D018491:Dopamine Agonists / Q000627:therapeutic use; D006801:Humans; D007211:Indoles / Q000627:therapeutic use; D007866:Leg / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D012148:Restless Legs Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology*
D018491:Dopamine Agonists; D007211:Indoles; C046649:ropinirole