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Augmentation and impulse control disorders in restless legs syndrome – Coexistence or association?

B. Heim, L. Zamarian, A. Heidbreder, A. Stefani, M.T. Pertl, E. Brandauer, K. Seppi, M. Delazer, W. Poewe, B. Högl, A. Djamshidian (Innsbruck, Austria)

Meeting: 2016 International Congress

Abstract Number: 950

Keywords: Obsessive-compulsive behavior/disorder, Restless legs syndrome(RLS): Clinical features

Session Information

Date: Tuesday, June 21, 2016

Session Title: Hyperkinetic Movement Disorders, RLS, Sleep

Session Time: 12:30pm-2:00pm

Objective: To assess the frequency of impulse control disorders (ICDs) in patients with restless legs syndrome (RLS) with and without augmentation under dopaminergic therapy.

Background: Augmentation and ICDs are both serious complications of dopaminergic treatment of RLS but little is known about possible associations between these drug-induced disorders.

Methods: In total, 58 patients with RLS diagnosed according to the International Restless Legs Syndrome Study Group criteria were recruited. Of these, 35 patients had augmentation. The presence of ICDs was assessed using semi-structural interviews.

Results: Demographic variables did not differ between RLS patients with and without augmentation. RLS patients with augmentation took significant higher dopaminergic medication than patients without augmentation. Twenty-two RLS patients (38.9%) had ICD symptoms, with twelve of these patients (20.7%) having definitive ICDs. Patients with augmentation had an increased risk of expressing ICDs (p<0.01, OR=5.64, 95% CI [1.59, 20.02]).

Conclusions: RLS patients with augmentation have an almost six-fold increased risk of exhibiting ICD symptoms, which implies that these two behaviours are related and may share a common pathophysiology. Moreover, our results have clinical implications, suggesting that RLS patients with augmentation should be screened for ICDs.

Previously presented in local congress.

To cite this abstract in AMA style:

B. Heim, L. Zamarian, A. Heidbreder, A. Stefani, M.T. Pertl, E. Brandauer, K. Seppi, M. Delazer, W. Poewe, B. Högl, A. Djamshidian. Augmentation and impulse control disorders in restless legs syndrome – Coexistence or association? [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/augmentation-and-impulse-control-disorders-in-restless-legs-syndrome-coexistence-or-association/. Accessed June 18, 2025.
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