Differential Diagnosis of Nocturnal Movements

Bhat, Sushanth; Лысенко, Л. А.

doi:10.1007/s40675-018-0106-7

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Cited by 2 publications

References 74 publications

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Motor Disorders in Sleep

Bhat,

Lysenko,

Elkhatib Smidt

et al. 2023

Atlas of Sleep Medicine

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Motor Disorders in Sleep

Bhat,

Lysenko,

Elkhatib Smidt

et al. 2023

Atlas of Sleep Medicine

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Utility of the Frontal Lobe Epilepsy Parasomnia Scale in Evaluation of Children With Nocturnal Events

Maytum

Garcia

Leighty

et al. 2020

Journal of Neuroscience Nursing

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BACKGROUND: Sleep-related hypermotor epilepsy (SHE) and nocturnal non–rapid eye movement parasomnias are difficult to differentiate. Neurologists and sleep medicine clinicians largely rely on clinical history when evaluating nocturnal spells. When the diagnosis is in question, referral for video electroencephalogram monitoring is the standard. However, there are no guidelines as to when this evaluation is needed. The Frontal Lobe Epilepsy Parasomnia (FLEP) scale was developed to assist clinicians in differentiating the two among adults. The aim of this study was to provide a preliminary evaluation of the FLEP for use with children. METHODS: This was a retrospective pilot instrument validation study with a convenience sample of 17 children seen in neurology or sleep medicine clinics. To determine concurrent validity, FLEP scores were compared with clinical diagnoses by neurology providers confirmed by electroencephalography. RESULTS: With a cutoff score of 2, the modified FLEP distinguished between children with and without SHE. The FLEP tool had a specificity of 0.58, implying that 7 of the 12 children without SHE would have been accurately recommended to follow up for parasomnia management rather than more urgent evaluation of potential frontal lobe epilepsy. CONCLUSIONS: With some minor adaptations for children, the FLEP satisfactorily distinguished between SHE and non-SHE patients.

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Differential Diagnosis of Nocturnal Movements

Cited by 2 publications

References 74 publications

Motor Disorders in Sleep

Motor Disorders in Sleep

Utility of the Frontal Lobe Epilepsy Parasomnia Scale in Evaluation of Children With Nocturnal Events

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