Clinical Case Presentations
Moderator: Denise Sharon (USA)
Augmentation of Restless Legs Syndrome Associated with Methadone
Learning Objective:
Identify a possible explanation for the “susceptibility” of opioids such as methadone to augmentation.

Christina A. H. Dirks (Germany)
Dr. Christina Dirks completed her degree in psychology in Hamburg, Germany, in 2009. She then worked for 10 years at Muenster University Hospital as a research assistant and graduate psychologist and completed her doctorate in 2016 at the Clinic for Sleep Medicine and Neuromuscular Diseases at Muenster University Hospital. During her work in the outpatient clinic and sleep laboratory, she focused on the treatment of Chronic Insomnia and Restless Legs Syndrome.
Twist and Turns in the Night (and Day): Challenging Case of Augmented RLS Requiring Multiple Treatment Strategies
Learning Objective:
Integrate various levels of on- and off-label therapies for severe augmented RLS.

Joseph Russo (USA)
Brief Biosketch
Case Series of Real-World Experience with Peripheral Nerve Stimulation
Learning Objectives:
Outline the published clinical trials that support the use of peripheral nerve stimulation for the treatment of refractory RLS
Understand the real-world evidence for peripheral nerve stimulation in the treatment of refractory RLS

Andrew Spector (USA)
Dr. Andrew Spector is a Professor of Neurology at Duke University with a clinical focus in sleep medicine. He is the author of the book Navigating Life with Restless Legs Syndrome, and he serves as the Sleep Medicine Fellowship Program Director, Vice Chair of Professionalism, Inclusion, Diversity, and Empowerment in the Duke Department of Neurology, and the Duke Athletics Sleep Optimization Consultant. Dr. Spector earned his MD from the University of Michigan, completed his neurology residency at Mayo Clinic in Jacksonville, FL, and a fellowship in sleep medicine at Boston Medical Center.

Richard Bogan (USA)
Dr. Bogan is the Medical Director of SleepMed of South Carolina in addition to serving as Chief Medical Officer of SleepMed, Inc., the largest sleep diagnostic company in the United States. He is also Associate Clinical Professor at the University of South Carolina School of Medicine and Associate Clinical Professor at the Medical University of South Carolina in Charleston, S.C.
Dr. Bogan received his bachelor’s degree in chemistry from Wofford College and his MD degree from the Medical University of South Carolina in Charleston. He served his internship and residency as well as was Chief Medical Resident at the University of Alabama Hospital and Clinics in Birmingham. Thereafter, he completed a fellowship and assistant professorship in the Pulmonary Division of the Department of Medicine at the University of Alabama School of Medicine. He has been certified by the American boards of Sleep Medicine, Internal Medicine, and Pulmonary Diseases.
Dr. Bogan has served as principal investigator on numerous clinical trials in the past and continues to do so now. He has a variety of publications and research interests that focus on topics such as narcolepsy, insomnia, sleep apnea, shift work sleep disorder, restless legs syndrome/periodic limb movement disorder, chronic fatigue/fibromyalgia and circadian rhythm abnormality.