Reliability and diagnostic accuracy of home video recording in differentiating sleep-related hypermotor epilepsy from disorders of arousal.

ABSTRACT:

Objective

This study evaluates the interobserver reliability (IR) and diagnostic accuracy of home video in distinguishing sleep-related hypermotor epilepsy (SHE) from disorders of arousal (DoA) among neurologists with varying levels of expertise. Additionally, it assesses the learning effect in nonexpert raters and extrapolates key diagnostic elements and confounding factors.

Methods

We selected 24 home videos capturing sleep-related events recognized as typical from 12 patients with confirmed SHE and 12 with DoA. During a full-day video session, a panel of 18 experts in epileptology or in sleep medicine and 12 general neurologists and residents were asked to classify each video as "SHE," "DoA," or "unknown," based on the semiology of the event. Baseline IR among all raters

SUBMITTER: Licchetta L 

PROVIDER: S-EPMC12661273 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature