Movement Disorders (revue)

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The Role of Iron in Restless Legs Syndrome

Identifieur interne : 001431 ( PascalFrancis/Corpus ); précédent : 001430; suivant : 001432

The Role of Iron in Restless Legs Syndrome

Auteurs : Richard P. Allen ; Christopher J. Earley

Source :

RBID : Pascal:08-0096822

Descripteurs français

English descriptors

Abstract

The impressive relief from restless legs syndrome (RLS) symptoms provided by levodopa treatment indicates RLS is caused by a dopaminergic abnormality. But similar and more lasting relief also occurs for iron treatment in some patients. Thus there are two major putative causes for RLS: CNS dopaminergic abnormality and CNS iron insufficiency. This article presents the data documenting that both peripheral and CNS iron insufficiency occur with RLS symptoms. Brain iron insufficiency is supported by independently replicated cerebrospinal fluid and brain imaging studies for patients without iron deficiency (ID) anemia. Autopsy studies and intravenous iron treatment further link brain iron insufficiency to RLS. The brain iron insufficiency in patients with RLS is now well established. In this article the data are reviewed that support the following postulates combining dopaminergic and iron causes of RLS: (1) All conditions that compromise iron availability will increase the risk of RLS leading to a higher than expected prevalence of RLS in these conditions. (2) Some patients with RLS have marginal CNS iron status that can become insufficient when deprived of normal access to adequate peripheral iron or may be insufficient even with normal access to adequate peripheral iron. (3) The change or reduced CNS iron status produces RLS symptoms largely through its effects on the dopaminergic system and the corollary to 3. (4) Dopaminergic system abnormalities producing RLS symptoms will be included in those produced by brain ID. Study of the iron model of RLS offers hope for developing new treatment approaches and perhaps methods to prevent or cure the disorder.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 22
A06       @3 SUP18
A08 01  1  ENG  @1 The Role of Iron in Restless Legs Syndrome
A09 01  1  ENG  @1 Update on restless legs syndrome
A11 01  1    @1 ALLEN (Richard P.)
A11 02  1    @1 EARLEY (Christopher J.)
A12 01  1    @1 TRENKWALDER (Claudia) @9 ed.
A12 02  1    @1 OERTEL (Wolfgang H.) @9 ed.
A12 03  1    @1 ALLEN (Richard) @9 ed.
A12 04  1    @1 GARCIA-BORREGUERO (Diego) @9 ed.
A14 01      @1 Department of Neurology, Johns Hopkins University @2 Baltimore, Maryland @3 USA @Z 1 aut. @Z 2 aut.
A15 01      @1 Paracelsus-Elena Hospital @2 Kassel @3 DEU @Z 1 aut.
A15 02      @1 University of Goettingen @3 DEU @Z 1 aut.
A15 03      @1 Department of Neurology, University of Marburg @3 DEU @Z 2 aut.
A15 04      @1 Department of Neurology, Johns Hopkins University @2 Baltimore, Maryland @3 USA @Z 3 aut.
A15 05      @1 Sleep Research Institute @2 Madrid @3 ESP @Z 4 aut.
A20       @2 S440-S448
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000162671150080
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 59 ref.
A47 01  1    @0 08-0096822
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 The impressive relief from restless legs syndrome (RLS) symptoms provided by levodopa treatment indicates RLS is caused by a dopaminergic abnormality. But similar and more lasting relief also occurs for iron treatment in some patients. Thus there are two major putative causes for RLS: CNS dopaminergic abnormality and CNS iron insufficiency. This article presents the data documenting that both peripheral and CNS iron insufficiency occur with RLS symptoms. Brain iron insufficiency is supported by independently replicated cerebrospinal fluid and brain imaging studies for patients without iron deficiency (ID) anemia. Autopsy studies and intravenous iron treatment further link brain iron insufficiency to RLS. The brain iron insufficiency in patients with RLS is now well established. In this article the data are reviewed that support the following postulates combining dopaminergic and iron causes of RLS: (1) All conditions that compromise iron availability will increase the risk of RLS leading to a higher than expected prevalence of RLS in these conditions. (2) Some patients with RLS have marginal CNS iron status that can become insufficient when deprived of normal access to adequate peripheral iron or may be insufficient even with normal access to adequate peripheral iron. (3) The change or reduced CNS iron status produces RLS symptoms largely through its effects on the dopaminergic system and the corollary to 3. (4) Dopaminergic system abnormalities producing RLS symptoms will be included in those produced by brain ID. Study of the iron model of RLS offers hope for developing new treatment approaches and perhaps methods to prevent or cure the disorder.
C02 01  X    @0 002B17
C02 02  X    @0 002B17D
C03 01  X  FRE  @0 Syndrome des jambes sans repos @5 01
C03 01  X  ENG  @0 Restless legs syndrome @5 01
C03 01  X  SPA  @0 Acroparestesia nocturna @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Fer @2 NC @5 09
C03 03  X  ENG  @0 Iron @2 NC @5 09
C03 03  X  SPA  @0 Hierro @2 NC @5 09
C03 04  X  FRE  @0 Voie intraveineuse @5 10
C03 04  X  ENG  @0 Intravenous administration @5 10
C03 04  X  SPA  @0 Vía intravenosa @5 10
C07 01  X  FRE  @0 Trouble neurologique @5 38
C07 01  X  ENG  @0 Neurological disorder @5 38
C07 01  X  SPA  @0 Trastorno neurológico @5 38
C07 02  X  FRE  @0 Trouble de la sensibilité @5 39
C07 02  X  ENG  @0 Sensitivity disorder @5 39
C07 02  X  SPA  @0 Trastorno sensibilidad @5 39
N21       @1 052
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0096822 INIST
ET : The Role of Iron in Restless Legs Syndrome
AU : ALLEN (Richard P.); EARLEY (Christopher J.); TRENKWALDER (Claudia); OERTEL (Wolfgang H.); ALLEN (Richard); GARCIA-BORREGUERO (Diego)
AF : Department of Neurology, Johns Hopkins University/Baltimore, Maryland/Etats-Unis (1 aut., 2 aut.); Paracelsus-Elena Hospital/Kassel/Allemagne (1 aut.); University of Goettingen/Allemagne (1 aut.); Department of Neurology, University of Marburg/Allemagne (2 aut.); Department of Neurology, Johns Hopkins University/Baltimore, Maryland/Etats-Unis (3 aut.); Sleep Research Institute/Madrid/Espagne (4 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. SUP18; S440-S448; Bibl. 59 ref.
LA : Anglais
EA : The impressive relief from restless legs syndrome (RLS) symptoms provided by levodopa treatment indicates RLS is caused by a dopaminergic abnormality. But similar and more lasting relief also occurs for iron treatment in some patients. Thus there are two major putative causes for RLS: CNS dopaminergic abnormality and CNS iron insufficiency. This article presents the data documenting that both peripheral and CNS iron insufficiency occur with RLS symptoms. Brain iron insufficiency is supported by independently replicated cerebrospinal fluid and brain imaging studies for patients without iron deficiency (ID) anemia. Autopsy studies and intravenous iron treatment further link brain iron insufficiency to RLS. The brain iron insufficiency in patients with RLS is now well established. In this article the data are reviewed that support the following postulates combining dopaminergic and iron causes of RLS: (1) All conditions that compromise iron availability will increase the risk of RLS leading to a higher than expected prevalence of RLS in these conditions. (2) Some patients with RLS have marginal CNS iron status that can become insufficient when deprived of normal access to adequate peripheral iron or may be insufficient even with normal access to adequate peripheral iron. (3) The change or reduced CNS iron status produces RLS symptoms largely through its effects on the dopaminergic system and the corollary to 3. (4) Dopaminergic system abnormalities producing RLS symptoms will be included in those produced by brain ID. Study of the iron model of RLS offers hope for developing new treatment approaches and perhaps methods to prevent or cure the disorder.
CC : 002B17; 002B17D
FD : Syndrome des jambes sans repos; Pathologie du système nerveux; Fer; Voie intraveineuse
FG : Trouble neurologique; Trouble de la sensibilité
ED : Restless legs syndrome; Nervous system diseases; Iron; Intravenous administration
EG : Neurological disorder; Sensitivity disorder
SD : Acroparestesia nocturna; Sistema nervioso patología; Hierro; Vía intravenosa
LO : INIST-20953.354000162671150080
ID : 08-0096822

Links to Exploration step

Pascal:08-0096822

Le document en format XML

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<ET>The Role of Iron in Restless Legs Syndrome</ET>
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