Journal article

Distinguishing sleep disorders from seizures - Diagnosing bumps in the night

Christopher Paul Derry, Margot Davey, Murray Johns, Katie Kron, Deborah Glencross, Carla Marini, Ingrid E Scheffer, Samuel F Berkovic

ARCHIVES OF NEUROLOGY | AMER MEDICAL ASSOC | Published : 2006

Abstract

BACKGROUND: Abnormal paroxysmal events in sleep may be parasomnias or epileptic seizures. In nocturnal frontal lobe epilepsy (NFLE), the unusual seizure features often lead to diagnostic confusion with nonepileptic parasomnias; video-electroencephalography monitoring is usually required to make the diagnosis. OBJECTIVE: To examine the reliability of the clinical history in diagnosing NFLE, using the Frontal Lobe Epilepsy and Parasomnias (FLEP) scale. DESIGN: The FLEP scale, comprising specific questions reflecting the diagnostic features of NFLE and parasomnias, was developed by an expert panel following review of the literature. It was then validated in a sample of individuals with firmly d..

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