Restless legs syndrome (RLS) with expansion of symptoms to the face

Background: It has been well established that restless legs syndrome (RLS) manifests with symptoms most frequently in the legs followed by the arms. Other body parts may be affected but it has been somewhat controversial as to whether symptoms may extend to the face. Methods: We are reporting two cases of RLS showing unusual extension of symptoms. Results: These two patients presented with symptoms which extended to body parts beyond the legs, including to the face. The facial symptoms can be relieved by walking, massage or medication. Conclusion: It is important to be aware of unusual extension of symptoms either as progression of the disease or as manifestation of augmentation. (c) 2007 Elsevier B.V. All rights reserved.