Accuratezza diagnostica di due strumenti clinici per la diagnosi differenziale degli episodi parossistici notturni

Translated title of the contribution: Nocturnal frontal lobe epilepsy and parasomnias differential diagnosis: Accuracy of two different clinical diagnostic tools

M. Broli, F. Bisulli, L. Di Vito, C. Leta, B. Mostacci, I. Naldi, P. Tinuper, L. Vignatelli

Research output: Contribution to journalArticle

Abstract

The aim of this study is to explore the diagnostic performance of two different tools for the nocturnal frontal lobe epilepsy (NFLE) and parasomnias differential diagnosis: Frontal Lobe Epilepsy and Parasomnias Scale (FLEP scale) and structured interview for nocturnal frontal lobe epilepsy (SINFLE). In fact the standard criteria for nocturnal episodes are unreliable or are still lacking. Thirty-five subjects with suspected NFLE or parasomnias, have been referred to our Sleep Epilepsy Center during the last three years. According to anamnestic, clinical and instrumental (EEG, home-video and video-EEG polysomnography, VEPSG) data 19 subjects were diagnosed as NFLE, 8 as parasomnias and 8 as uncertain diagnosis. After at least six months follow-up, all patients were re-evaluated through the FLEP scale and SINFLE, telephonically administered by a neurologist blinded to the initial diagnosis. FLEP scale and SINFLE showed a similar diagnostic performance in the NFLE and parasomnias cases and both tools agreed with final diagnosis in judging uncertain patients, so an assessment of the likelihood of epilepsy may be made at the initial consultation, even when the clinician has limited experience with these conditions, suggesting or avoiding a VEPSG.

Original languageItalian
Pages (from-to)293-295
Number of pages3
JournalBollettino - Lega Italiana contro l'Epilessia
Issue number145
Publication statusPublished - Apr 2013

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ASJC Scopus subject areas

  • Clinical Neurology

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