0797 Restless Legs Syndrome and Fitness-to-Drive

Abstract Introduction Restless legs syndrome (RLS) is a neurological condition that causes an irresistible urge to move the legs. People with RLS commonly feel symptoms in the late afternoon or evening hours. RLS can severely interrupt sleep, making it difficult to fall asleep or return to sleep after waking up. This can be responsible for increased daytime fatigue, daytime sleepiness, and in the long term an increased incidence of traffic accidents. The aim of this study was to investigate the incidence of the diagnosis of RLS in the population of subjects who came to our facility between January 2022 and December 2025, following an administrative decision requiring a fitness-to-drive medical assessment after traffic violations not related to daytime sleepiness (i.e. driving under the influence of alcohol). Methods To carry out the present study, data relating to 2,000 subjects were analyzed over a period of four years (subjects of both sexes aged between 18 and 75 years). The subjects recruited for the study came to our facility for traffic violations related to the consumption of alcohol and/or illicit drugs. Individuals who came to our observation following episodes of sudden loss of consciousness while driving were not considered. Results 140 subjects reported a diagnosis of RLS (diagnosis made within the previous ten years), with varying levels of care (primary care physician in the majority of cases) and variable pharmacological treatments. 120 subjects reported optimal control of RLS, while 20 subjects reported problems with daytime sleepiness. Conclusion As already highlighted by other authors in the past, the diagnosis of RLS must be carefully sought and assessed as part of a general evaluation of fitness to drive, considering the potential risks associated with increased daytime sleepiness. Support (if any) n/a