title: Multiple skeletal injuries resulting from uncontrolled restless legs syndrome.
abstract: Restless legs syndrome is a common condition that results in difficulties falling and staying asleep and perception of poor sleep quality. We report a case of a 73-year-old woman with uncontrolled restless legs syndrome who spent most of the night standing and walking. As a result of her nighttime behaviors, she fell several times and sustained, on several separate occasions, fractures of both forearms, ribs, and nose. Iron replacement therapy and changing of her dopamine-agonist medications resulted in almost complete relief of symptoms. Physicians should be aware of the potential for injury in patients with uncontrolled RLS.
authors.affiliation: Sleep Disorders Center, Mayo Clinic, College of Medicine, Rochester, MN 55905, USA.
authors.forename: Tomasz J
authors.initials: TJ
authors.lastname: Kuzniar
authors.forename: Michael H
authors.initials: MH
authors.lastname: Silber
mesh_terms: D000058:Accidental Falls; D000368:Aged; D001205:Ascorbic Acid / Q000627:therapeutic use; D045422:Continuous Positive Airway Pressure / Q000379:methods; D004359:Drug Therapy, Combination; D005260:Female; D005296:Ferrous Compounds / Q000627:therapeutic use; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D009104:Multiple Trauma / Q000150:complications* / Q000175:diagnosis; D012148:Restless Legs Syndrome / Q000150:complications* / Q000628:therapy; D014131:Trace Elements / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D005296:Ferrous Compounds; D014131:Trace Elements; D001205:Ascorbic Acid; C031621:ferrous fumarate