Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Code availability
Not applicable.
References
Schoser B, Schautzer F, Bremova T, Strupp M (2019) Treatment of restless legs syndrome with acetyl-DL-leucine: accidental findings and a small case series. Eur J Neurol 26:348
Walters AS, LeBrocq C, Dhar A et al (2003) Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Med 4:121–132
Kaya E, Smith DA, Smith C, Boland B, Strupp M, Platt FM (2020) Beneficial effects of acetyl-DL-leucine (ADLL) in a mouse model of Sandhoff disease. J Clin Med 8:9
Hegdekar N, Lipinski MM, Sarkar C (2021) N-acetyl-L-leucine improves functional recovery and attenuates cortical cell death and neuroinflammation after traumatic brain injury in mice. Sci Rep 11:9249
Vibert N, Vidal PP (2001) In vitro effects of acetyl-DL-leucine (tanganil) on central vestibular neurons and vestibulo-ocular networks of the guinea-pig. Eur J Neurosci 13:735–748
Gunther L, Beck R, Xiong G et al (2015) N-acetyl-L-leucine accelerates vestibular compensation after unilateral labyrinthectomy by action in the cerebellum and thalamus. PLoS ONE 10:e0120891
Kocar TD, Möller HP, Kassubek J (2020) Differential functional connectivity in thalamic and dopaminergic pathways in restless legs syndrome: a meta-analysis. Ther Adv Neurol Disord 13:1756286420941670
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TF: writing–original draft preparation; writing–reviewing and editing. BS: reviewing and editing. WO: reviewing and editing. MS: conceptualization and methodology; writing–original draft preparation; writing–reviewing and editing.
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Conflicts of interest
Taylor Fields is an officer and shareholder of IntraBio. Benedikt Schoser has received out of the scope of this report research grants from the European Union, Federal Ministry of Education and Research Germany; Sanofi-Genzyme, Amicus. Scientific advisory board fees, consulting fees, and speaker fees from Amicus, Alexion, Argenx, Audentes, Dyne, Lupin, Sanofi-Genzyme, UCB. Wolfgang Oertel has received grants from the ParkinsonFonds Deutschland, the Michael J Fox Foundation, and the Deutsche Forschungsgemeinschaft (DFG) outside the submitted work; he has received personal fees for educational and scientific presentations and/or for participating in advisory board meetings from Adamas, Desitin, MODAG, Roche and UCB outside the submitted work. Wolfgang Oertel is Hertie-Senior-Research Professor supported by the Charitable Hertie-Foundation, Frankfurt/Main, Germany. Michael Strupp is a shareholder to IntraBio, and consultant for Abbott, Actelion, AurisMedical, Heel, IntraBio and Sensorion out of the scope of this work; he has received speaker’s honoraria from Abbott, Actelion, Auris Medical, Biogen, Eisai, Grünenthal, GSK, Henning Pharma, Interacoustics, Johnson & Johnson, MSD, Otometrics, Pierre-Fabre, TEVA, UCB and Viatris outside of the work submitted. He is the distributor of M-glasses and positional vertigo App.
Ethical approval
Not applicable since description of a single case of individual off-label treatment. Written consent by the patient for compassionate-use of N-acetyl-DL-leucine.
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All authors had full access to the data in the case report and had final responsibility for the decision to submit for publication.
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Fields, T., Schoser, B., Oertel, W. et al. Acetyl-dl-leucine improves restless legs syndrome: a case report. J Neurol 268, 2595–2596 (2021). https://doi.org/10.1007/s00415-021-10625-3
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DOI: https://doi.org/10.1007/s00415-021-10625-3