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Frontal Lobe Epilepsy and Parasomnias (FLEP) Scale

  • Azmeh ShahidEmail author
  • Kate Wilkinson
  • Shai Marcu
  • Colin M. Shapiro
Chapter

Abstract

Created by Derry and colleagues [1], the 11-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.

References

  1. 1.
    Derry, C. P., Davey, M., Johns, M., Kron, K., Glencross, D., Marini, C., Scheffer, I. E., & Berkovic, S. F. (2006). Distinguishing sleep disorders from seizures: diagnosing bumps in the night. Archives of Neurology, 63(5), 705–709.PubMedCrossRefGoogle Scholar
  2. 2.
    Manni, R., Terzaghi, M., & Repetto, A. (2008). The FLEP scale in diagnosing nocturnal frontal lobe ­epilepsy, NREM and REM parasomnias: data from a tertiary sleep and epilepsy unit. Epilepsia, 49(9), 1581–1585.PubMedCrossRefGoogle Scholar

Representative Studies Using Scale

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Azmeh Shahid
    • 1
    Email author
  • Kate Wilkinson
    • 1
  • Shai Marcu
    • 2
  • Colin M. Shapiro
    • 3
  1. 1.University of Toronto The Youthdale Child and Adolescent Sleep CentreTorontoCanada
  2. 2.University of Toronto The Youthdale Child and Adolescent Sleep CentreTorontoCanada
  3. 3.Department of PsychiatryUniversity of Toronto The Youthdale Child and Adolescent Sleep CentreTorontoCanada

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