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August 2007

Scale for Distinguishing Sleep Disorders From Seizures—Reply

Arch Neurol. 2007;64(8):1206-1207. doi:10.1001/archneur.64.8.1206-b

In reply

We agree with these authors that the Frontal Lobe Epilepsy and Parasomnias (FLEP) scale should not be used entirely in isolation: it is designed as an adjunct to, rather than a substitute for, a good clinical evaluation. However, NFLE is not common and, in practice, patients may present to a clinician with limited direct experience of the disorder; the scale may therefore be useful in this setting to assist in the diagnostic process, particularly when video electroencephalography monitoring is not achievable.1

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