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2014, vol. 36, br. 1-2, str. 91-107
Savremeno lečenje sindroma 'nemirnih nogu' - dijagnostičke i terapijske mogućnosti
Klinički centar Niš, Klinika za neurologiju

e-adresaj.stamenovic1@gmail.com
Ključne reči: sindrom 'nemirnih' nogu; polisomnografija; dopaminergički agonisti
Sažetak
Uvod: Sindrom 'nemirnih' nogu (restless legs syndrome - RLS) predstavlja hronični neurološki poremećaj, klinički definisan prisustvom neodoljive potrebe da se noge pokreću, sa ili bez osećaja parestezija. Četiri neophodna i dovoljna klinička simptoma definišu subjektivne tegobe obolelih osoba, a to su istovremeno i esencijalni dijagnostički kriterijumi: neodoljiva potreba (nagon) da se noge pokreću, obično praćena neprijatnim senzacijama (disestezijama), motorni 'nemir', pojava ili pogoršanje tegoba tokom mirovanja (odmora) i pojava ili pogoršanje tegoba tokom noći. Početak tegoba najčešći je u petoj i šestoj deceniji života, sa prevalencom od oko 10% u opštoj populaciji belaca Evrope i Severne Amerike. Žene obolevaju češće od muškaraca, i to u odnosu 2:1. Prikaz slučaja: Pacijentkinja stara 53 godine, višegodišnji hipertoničar, obratila se neurologu zbog tegoba u vidu osećaja 'trnjenja, mravinjanja i žarenja' u nogama, koje su prisutne 2-3 godine. Neurološki nalaz je bio u okvirima fiziološkog, bez patološkog fokalnog ispoljavanja. Nakon ispitivanja propisana je terapija pramipeksolom, koja je uslovila značajnu redukciju tegoba. Zaključak: RLS je asociran sa značajnim umanjenjem kvaliteta života, komparabilnim sa onim viđenim u hroničnim bolestima kao što su dijabetes i depresija. Značajno neprepoznavanje i neadekvatni tretman RLS-a ukazuje da je neophodna kvalitetnija edukacija o ovom poremećaju.
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O članku

jezik rada: srpski
vrsta rada: neklasifikovan
DOI: 10.5937/engrami1402091S
objavljen u SCIndeksu: 06.07.2015.

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