Images: Identification and Effect of Periodic Limb Movements in End-Stage Renal Disease

We present the case of a man on continuous cycler peritoneal dialysis with disabling fatigue and moderate restless legs syndrome (RLS). Actigraphy demonstrated excessive nocturnal movement. Unattended home polysomnography, performed during his regular peritoneal dialysis, confirmed frequent nocturnal periodic limb movements with disturbed sleep. Treatment with low dose pramipexole led to improved RLS and marked improvement in his energy. Clinicians caring for patients with ESRD should have a low threshold for objective sleep assessment given that sleep disorders are common, disabling and eminently amenable to treatment.Citation:Kennedy C, Kane T, Costello R, Conlon P. Identification and effect of periodic limbmovements in end-stage renal disease.J Clin Sleep Med. 2019;15(11):1711–1713.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research