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Exacerbation of restless legs syndrome following amygdalohippocampectomy: A case report.

Sachiko EguchiSaeko Yokotsuka-IshidaYusuke AraiDaimei SasayamaTakugo MaedaKohei KanayaTetsuhiro FukuyamaKensuke NomuraShinsuke Washizuka
Published in: PCN reports : psychiatry and clinical neurosciences (2024)
No reports are available highlighting the exacerbation of RLS after amygdalohippocampectomy. Perioperative factors, such as anesthesia and iron deficiency due to hemorrhage, have been proposed as aggravating factors for RLS; however, the asymmetry of RLS, particularly the atypical right-sided exacerbation in this case, makes it unlikely that this was the primary cause. A negative correlation between opioid receptor availability in the amygdala and RLS severity has been reported, suggesting that amygdalohippocampectomy contributes to the exacerbation of RLS symptoms. This case provides valuable insights into the possible involvement of the amygdala in the pathophysiology of RLS and practical considerations for the clinical management of the condition.
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