FLEP SCALE PDF

Created by Derry and colleagues [1], the item FLEP scale is designed to aid clinicians in distinguishing frontal lobe seizures from parasomnias. While polysomnography is considered the gold standard approach for differentiating the two conditions, scale developers cite the need for an efficient, cost-effective alternative for those who, for whatever reason, do not have access to sleep clinic facilities. In order to distinguish nocturnal events caused by epilepsy from those related to parasomnias, the scale queries several factors, including: age of onset and event duration, frequency, timing, symptoms, stereotypy, and recall. Skip to main content.

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Either your web browser doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page. Epilepsia , 10 Apr , 49 9 : DOI: Read article at publisher's site DOI : Bazil CW. Garfield V. Nat Sci Sleep , , 10 Oct Parkinsons Dis , , 04 Feb Bargiotas P , Bassetti CL. Curr Opin Neurol , 30 4 , 01 Aug Cited by: 0 articles PMID: Neurol Sci , 38 4 , 17 Dec To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation.

Arch Neurol , 63 5 , 01 May Cited by 49 articles PMID: Epilepsia , 53 7 , 11 May Cited by 16 articles PMID: Foldvary-Schaefer N , Alsheikhtaha Z.

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Europe PMC requires Javascript to function effectively. Recent Activity. Recent history Saved searches. Abstract Available from publisher site using DOI. A subscription may be required. Raffaele Manni Search articles by 'Raffaele Manni'. Manni R ,. Terzaghi M ,. Alessandra Repetto Search articles by 'Alessandra Repetto'.

Repetto A. Affiliations All authors 1. Share this article Share with email Share with twitter Share with linkedin Share with facebook. However, the scale is associated with a real risk of misdiagnosis in some patients and gives uncertain indications in about one-third of cases, mainly RBD.

Our investigation highlights the inadequacy of some of the items in the scale. The item investigating wandering, as presently formulated, may be unable to distinguish nocturnal wandering from sleepwalking.

The items about "recall" and "clustering" of the events throughout the night may increase the likelihood of mistaking RBD for seizures. Further testing of the reliability of the FLEP scale items appears to be needed. Paroxysmal motor phenomena during sleep: study of the frequency of parasomnias in patients with nocturnal frontal lobe epilepsy and their relatives Bisulli Epilepsia, S6.

A coefficient of agreement for nominal scales Cohen Educ Psychol Meas. Paroxysmal motor disorders of sleep: the clinical spectrum and differentiation from epilepsy. Distinguishing sleep disorders from seizures: diagnosing bumps in the night. Title not supplied Frankfort-Nachmias. REM sleep behavior disorder and epileptic phenomena: clinical aspects of the comorbidity. Sleepwalking and other ambulatory behaviours during sleep Plazzi Neurol Sci, S3. Nocturnal frontal lobe epilepsy. A clinical and polygraphic overview of consecutive cases.

Show 6 more references 10 of Smart citations by scite. The number of the statements may be higher than the number of citations provided by EuropePMC if one paper cites another multiple times or lower if scite has not yet processed some of the citing articles. Explore citation contexts and check if this article has been supported or contradicted. Sleep-related hypermotor epilepsy: prevalence, impact and management strategies. Sleep-related movement disorders and disturbances of motor control.

Video analysis of epileptic-like motor patterns in REM behaviour disorder: a case series. Distinctive polysomnographic traits in nocturnal frontal lobe epilepsy. Complex nocturnal behaviors: nocturnal seizures and parasomnias. Increased frequency of arousal parasomnias in families with nocturnal frontal lobe epilepsy: a common mechanism?

Parasomnias and nocturnal frontal lobe epilepsy NFLE : lights and shadows--controversial points in the differential diagnosis. This website requires cookies, and the limited processing of your personal data in order to function. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. I agree, dismiss this banner. Wicket Ajax Debug Window drag me here.

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Frontal Lobe Epilepsy and Parasomnias (FLEP) Scale

However, the scale is associated with a real risk of misdiagnosis in some patients and gives uncertain indications in about one-third of cases, mainly RBD. Our investigation highlights the inadequacy of some of the items in the scale. The item investigating wandering, as presently formulated, may be unable to distinguish nocturnal wandering from sleepwalking. The items about "recall" and "clustering" of the events throughout the night may increase the likelihood of mistaking RBD for seizures. Further testing of the reliability of the FLEP scale items appears to be needed. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features!

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Clinical features that may be useful in distinguishing nocturnal frontal lobe epilepsy NFLE from parasomnias. These features were included in the scale based on their discriminatory value. Frequencies of Frontal Lobe Epilepsy and Parasomnias FLEP scale scores generated by the nonmedically trained interviewer, color-coded according to actual diagnosis. Of the 62 patients interviewed, 3 had their conditions incorrectly diagnosed using the scale; these were all patients with parasomnias who generated low positive scores.

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