Restless Limbs and Bladder: An Atypical Variant of Restless Legs Syndrome Case Report

Abstract

Restless Legs Syndrome (RLS) primarily affects the legs, but atypical variants involving other body parts have been described. We present a 42-year-old patient presented with 10-year history of urinary urgency along with pain, numbness, and itchiness in the right hand and foot, which worsened and started affecting the left side over the past six months. The symptoms occurred predominantly at night, improved with urination and movement, and affected daily activities. Symptoms completely resolved with pramipexole treatment. The diagnostic criteria for RLS acknowledge atypical variants involving various body parts. Reported cases include genital, bladder, abdominal, bowel, head, oral, and phantom limb variants. Clinicians should consider therapeutic testing, such as with low-dose dopamine agonists, when there is a high clinical suspicion.