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Yıl:2013; Cilt: 50; Sayı: 1>> Özet
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Nöropsikiyatri Arşivi; 2013;50(1):84-86
Kapsüla İnterna İnfarktı İlişkili Huzursuz Bacak Sendromu: Olgu Sunumu
M Yücel, Ç Erdoğan, O Öz, H Akgün, Y Kütükçü, Z Odabaşı
Kasımpaşa Asker Hastanesi, İstanbul
Huzursuz bacak sendromu (HBS) primer veya sekonder nedenli olabilir. Sekonder nedenlerden biri olan inme, literatürde az sayıda da olsa bildirilmiştir. Bu makalede HBS semptomları gelişen kapsüla interna infarktları olan bir olgu sunulmuştur. 48 yaşındaki kadın, sağ hemiparezi ve sağ santral fasiyal paralizi ile başvurdu. Kraniyal görüntülemesinde sol kapsüla interna arka bacağında ve sağ kapsüla interna ön bacağında laküner enfarkt alanı saptandı. Bir ay sonra hasta her iki bacakta huzursuzluk ve garip hisler olduğundan yakınıyordu. Hastanın semptomları gece ortaya çıkıyordu ve ilave olarak bacakların hareketiyle azalıyordu. Hastaya HBS tanısı ile pramipeksol 0,5 mg/gün tedavisi başlandı. Hastanın tedavi altında yakınmaları tamamen düzeldi. HBS yakınmaları hastalığın 1. ayında görülmesi ve semptomlarla ilişkili olası anatomik lokalizasyon görüntüleme tetkikleriyle gösterilmesi nedeniyle, olgu inme sonrası HBS olarak kabul edildi
Capsula Interna-Related Restless Leg Syndrome: A Case Report
Restless Legs Syndrome (RLS) may be primary or secondary. As a secondary etiological factor, stroke has been rarely reported in the literature. Here, we present the case of a patient with infarctions in the internal capsule who experienced RLS symptoms. A 48-year-old female was admitted with right hemiparesis and right central facial paralysis. Her cranial MRI revealed lacunar infarcts in the crus posterior of the left internal capsule and in crus anterior of the right internal capsule. One month later, she described uncomfortable and odd sensations affecting both legs. Her symptoms emerged at nights, additionally, movement of the legs provided temporary relief. She was diagnosed with RLS and started on Pramipexole 0.5 mg/day. Her symptoms resolved completely with this treatment. Because her RLS symptoms appeared in the first month of the disease and her neuroimaging results showed a correlation between possible anatomical localization and the symptoms, the current case has been accepted as poststroke RLS.

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