{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T20:48:23Z","timestamp":1793134103513,"version":"4.5.0"},"reference-count":62,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Study Objectives<\/jats:title>\n                  <jats:p>Restless legs syndrome (RLS) is a circadian rhythm related sensorimotor disorder due to brain iron deficiency, with lesion sites at the putamen and substantia nigra. However, epilepsy is a disease with abnormal electric discharge from the cortex and can be triggered with iron disequilibrium. We designed a case\u2013control study to discover the association between epilepsy and RLS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 24 patients with epilepsy and RLS and 72 patients with epilepsy without RLS were included. Most of the patients underwent polysomnography and video electroencephalogram tests and took sleep questionnaires. We collected information on seizure characteristics, including general or focal onset, epileptogenic focus, current antiseizure medications, medically responsive epilepsy or refractory epilepsy, and nocturnal attacks. The sleep architectures of the two groups were compared. We analyzed the risk factors for RLS using multivariate logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among the patients with epilepsy, the occurrence of RLS was associated with refractory epilepsy (OR 6.422, p = 0.002) and nocturnal seizures (OR 4.960, p = 0.005). Sleep parameters were not significantly associated with RLS status. Quality of life was significantly impaired in the group with RLS in both the physical and mental domains.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Refractory epilepsy and nocturnal seizures were strongly correlated with RLS in patients with epilepsy. RLS should be considered a predictable comorbidity in patients with epilepsy. The management of RLS not only led to better control of the patient\u2019s epilepsy but also improved their quality of life.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/sleep\/zsad054","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T13:16:06Z","timestamp":1677762966000},"source":"Crossref","is-referenced-by-count":6,"title":["Restless legs syndrome in patients with epilepsy: risk analysis, polysomnography, and quality of life evaluation"],"prefix":"10.1093","volume":"47","author":[{"given":"Ying-Sheng","family":"Li","sequence":"first","affiliation":[{"name":"Sleep Disorders Center, Department of Neurology, Kaohsiung Medical University Hospital , Kaohsiung City , Taiwan"},{"name":"Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University , Kaohsiung City , Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Chih","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital , Kaohsiung City , Taiwan"},{"name":"Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University , Kaohsiung City , Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Hsien","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yucheng Otolaryngological and Pediatric Clinic , Kaohsiung City , Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9880-5944","authenticated-orcid":false,"given":"Chung-Yao","family":"Hsu","sequence":"additional","affiliation":[{"name":"Sleep Disorders Center, Department of Neurology, Kaohsiung Medical University Hospital , Kaohsiung City , Taiwan"},{"name":"Department of Neurology, College of Medicine, Kaohsiung Medical University , Kaohsiung City , 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