Restless legs-like syndrome as an emergent adverse event of CGRP monoclonal antibodies: A report of two cases.
Cephalalgia
; 41(11-12): 1272-1275, 2021 10.
Article
em En
| MEDLINE
| ID: mdl-34082583
ABSTRACT
BACKGROUND:
One of the advantages of CGRP monoclonal antibodies is their excellent safety and tolerability. However, postmarketing surveillance, is essential to detect potential rare emergent adverse events.OBJECTIVES:
To report two patients who developed restless legs syndrome symptoms after treatment with CGRP antibodies. METHODS ANDRESULTS:
Two women with chronic refractory migraine, with no significant medical antecedents, developed typical restless legs syndrome symptoms 1.5 and 4 months after starting erenumab 140 mg, respectively. In case 1 symptoms resolved when erenumab was stopped for two months but reappeared on galcanezumab. In both patients migraine attacks had dramatically decreased and no iron deficiency was found.CONCLUSIONS:
Even though caution is needed before establishing a causal relationship, these cases suggest that restless legs-like symptoms might be an emergent adverse event of CGRP antibodies, regardless of the mechanism of action. We propose that plastic changes in CGRP sensory fibers, which are very abundant in legs, induced by CGRP monoclonal antibodies could be the reason for restless legs syndrome development.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome das Pernas Inquietas
/
Transtornos de Enxaqueca
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Cephalalgia
Ano de publicação:
2021
Tipo de documento:
Article