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Living with Autosomal dominant nocturnal frontal lobe epilepsy

A family-linked form of epilepsy that causes seizures mostly during sleep.

Understanding Autosomal dominant nocturnal frontal lobe epilepsy

Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is an uncommon form of epilepsy that runs in families and causes seizures mostly at night.

Seizures usually happen during sleep, often in clusters that last from a few seconds to a few minutes. Some people also have seizures during the day. They can begin anytime from infancy to mid-adulthood, but most begin in childhood. Seizures tend to become milder and less frequent with age, and in most people they can be controlled with medication.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Seizures during sleep (nocturnal seizures)
  • Involuntary movements
  • Repeated, stereotyped movements
  • Sudden episodes of stiff or twisted posture (paroxysmal dystonia)
  • Waking suddenly, sometimes with wandering
  • Warning feelings (aura) such as tingling or fear

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Epilepsy Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could my night episodes be seizures instead of nightmares or sleepwalking?
What can we do to track how often seizures happen?
Would genetic testing help me or my family members?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant

ADNFLE runs in families and is inherited in an autosomal dominant way, so a change in one copy of a gene can cause it. GARD does not name a specific gene here.

GeneticNeurological

Also known as: adnfle; adnfle - autosomal dominant nocturnal frontal lobe epilepsy; adshe - autosomal dominant sleep-related hypermotor epilepsy; autosomal dominant sleep-related hyperkinetic epilepsy; autosomal dominant sleep-related hypermotor epilepsy; enfl

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Autosomal dominant nocturnal frontal lobe epilepsyGARD ID 11918 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autosomal dominant nocturnal frontal lobe epilepsy.

Explore the Autosomal dominant nocturnal frontal lobe epilepsy blog

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