2021
DOI: 10.1016/j.chest.2021.01.059
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Sleep-Related Hypermotor Epilepsy vs Disorders of Arousal in Adults

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Cited by 15 publications
(15 citation statements)
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“…111 Core clinical features are strongly supporting a diagnosis of DOA include behaviors mimicking everyday activities associated with physical or verbal interaction with the environment (such as turning on the light, opening a door or looking out of the window, using the mobile phone, getting dressed, taking actions related to working activity, doing make-up or preparing luggage). 112 Patients with parasomnia often have lower episode frequency and longer episode duration than those with SHE. 113 The clinical history alone is sometimes insufficient to provide information for differential diagnosis but may still provide clues for the further development of screening programs.…”
Section: Differential Diagnosis and Overlap Between She And Parasomniasmentioning
confidence: 99%
“…111 Core clinical features are strongly supporting a diagnosis of DOA include behaviors mimicking everyday activities associated with physical or verbal interaction with the environment (such as turning on the light, opening a door or looking out of the window, using the mobile phone, getting dressed, taking actions related to working activity, doing make-up or preparing luggage). 112 Patients with parasomnia often have lower episode frequency and longer episode duration than those with SHE. 113 The clinical history alone is sometimes insufficient to provide information for differential diagnosis but may still provide clues for the further development of screening programs.…”
Section: Differential Diagnosis and Overlap Between She And Parasomniasmentioning
confidence: 99%
“…Different questionnaires based on clinical features have been developed as further support tool, though with variable accuracy values (Bisulli et al, 2012; Derry et al, 2006; Loddo et al, 2021; Manni, Terzaghi, & Repetto, 2008). Video‐PSG represents the “gold‐standard” test for diagnosing complex sleep‐related events, but the widespread availability of home‐recording devices also provides a useful and affordable diagnostic instrument, especially if multiple DOA events are captured (Montini, Loddo, Baldelli, Cilea, & Provini, 2021; Nobili, 2009). However, in accordance with the current diagnostic criteria for SHE, if the recorded episodes are minor motor events or PA, the clinical diagnosis may be unreliable (Tinuper et al, 2016).…”
Section: From Nocturnal Frontal Lobe Epilepsy (Nfle) To Shementioning
confidence: 99%
“…inpatient epilepsy monitoring center. While this is an expensive evaluation option, home video recording via cell phone camera, stereotypical behavior of the events, frequency up to nightly, persistence into adulthood, and the presence of a brain disorder can guide a clinician's decision to proceed [27]. In the author's experience in a busy university sleep clinic, less than 5% of adult patients presenting with arousal disorders are referred for epilepsy monitoring, however, 30% of the patients who were referred for epilepsy monitoring were diagnosed with likely or definite sleep-related hypermotor epilepsy.…”
Section: Tablementioning
confidence: 99%