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Spontaneous continuous lower limb movements ? associated with paraesthesia
Effects 2-10% population, M=F,
FH in 50% of idiopathic

''Feature''
Akathisia (uncontrollable urge to move legs) - initially at night, worse at rest
Paraesthesia - crawling / throbbing sensation
Mvts may be noticed by partner

''Causes / Associations''
Iron deficiency anaemia - so check ''ferritin'' (most impt secondary cause)
Uraemia (check U/E)
Diabetes (check glc)
Pregnancy
Idiopathic
Also check LFT (bilirubin), ESR

''Mx''
walk, stretch, massage
Treat underlying cause (esp iron deficiency)
Dopamine agonists (Pramipexole, ropinirole)
Benzos
Gabapentin