Pathophysiological concepts of restless legs syndrome.
Pathophysiological concepts of restless legs syndrome (RLS) are based mainly on neuroimaging and on neurophysiological data. Furthermore treatment effects contribute essentially to the present understanding of the disease, unless the genetic progress expected in the near future will clarify substantially open issues. The concept agreed on assumes a dysfunction of the dopaminergic system, possibly on the level of striatal and/or spinal dopamine receptors, and the A11 neuron group localized in the hypothalamus as an integrated part of the system. These neurons modulate spinal excitability, alterations of which in turn affect sensory processing predominantly of leg afferents in brain stem structures. Neurophysiologically excitability alterations can be measured by a variety of methods such as determination of pain thresholds, H-reflex testing, and quantitative sensory testing.
Paulus
Walter
W
Department of Clinical Neurophysiology, University of Göttingen, Göttingen, Germany.
Dowling
Pascal
P
Department of Clinical Neurophysiology, University of Göttingen, Göttingen, Germany.
Rijsman
Roselyne
R
Department of Clinical Neurophysiology and Sleepcenter. MCHaaglanden, Westeinde Hospital, The Hague, The Netherlands.
Stiasny-Kolster
Karin
K
Department of Neurology, Philipps University of Marburg, Germany.
Trenkwalder
Claudia
C
Paracelsus Elena Klinik, Centre of Parkinsonism and Movement Disorders, Kassel, Germany.
de Weerd
Al
A
Sleepcenter and Department of Clinical Neurophysiology, SEIN Zwolle, Zwolle, The Netherlands.
D003342:Corpus Striatum / Q000378:metabolism / Q000473:pathology; D003952:Diagnostic Imaging / Q000379:methods; D004298:Dopamine / Q000378:metabolism; D006801:Humans; D012148:Restless Legs Syndrome / Q000473:pathology* / Q000503:physiopathology*
D004298:Dopamine