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Lab Test Overview: What to Expect and What Your Results Mean

Published: August 9, 2026Updated: August 16, 2026

A blood test that looks for specific genetic mutations linked to Autosomal Dominant Nocturnal Frontal Lobe Epilepsy (ADNFLE), a rare inherited form of epilepsy.

Quick summary

{"ADNFLE is a genetic form of epilepsy that causes seizures during sleep","This test checks for mutations in genes that control brain nerve cell activity","A positive result confirms the diagnosis and helps guide treatment","The test requires a simple blood sample","Family members may also need testing if a mutation is found"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
57909-4
Short code
ADNFLE
Synonyms
ADNFLE gene Mut Anl Bld/T
Category
chemistry
Sample
whole-blood
Container
EDTA tube (Lavender top) - 6 mL draw tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
molgen
CPT
81290
SNOMED
373496003
Specimen volume
3-5 mL whole blood
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 72 hours; Frozen (-20°C or below): acceptable for prolonged storage
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
168–504 hours
Order
routine

What is this test? This test is a laboratory procedure that measures specific substances in your body to help your doctor check how well your organs are working and look for early signs of illness.

This test looks for mutations (changes) in specific genes associated with Autosomal Dominant Nocturnal Frontal Lobe Epilepsy (ADNFLE). ADNFLE is a rare inherited type of epilepsy where seizures occur mainly during sleep. The most commonly tested genes are CHRNA4, CHRNA2, and CHRNB2, which are responsible for making proteins that help control the electrical activity of brain cells.

Why do I need this test? Your doctor may order this test to help diagnose a medical condition, monitor an ongoing health problem, screen for risk factors, or check how well a current treatment is working for you.

Your doctor may recommend this test if you or a family member have symptoms suggesting ADNFLE, such as: brief seizures during sleep, unusual movements during sleep, or a family history of epilepsy. This test helps confirm the diagnosis, distinguish ADNFLE from other types of epilepsy, and determine if family members may be at risk.

What happens during the test? A trained healthcare professional will collect a small sample, such as blood or urine, at a clinic or office. The procedure usually takes only a few minutes and causes little discomfort.

A healthcare professional will draw a small blood sample from a vein in your arm. The blood is then sent to a laboratory where technicians analyze your DNA to look for specific mutations in the genes associated with ADNFLE. The test typically takes a few weeks to complete as specialized genetic testing requires detailed analysis.

What do the results mean? Your results will show whether your values fall within the normal range. Your doctor will explain what the numbers mean for your overall health and discuss any follow-up testing or treatment options with you.

A positive result means a mutation was found in one of the ADNFLE-related genes, confirming a genetic diagnosis. This can help your doctor choose the most appropriate treatment. A negative result means no known mutation was found, but it does not completely rule out epilepsy—it may mean you have a different form or an unknown genetic cause. Your doctor will interpret your results in the context of your symptoms and medical history.

Reference range

No ADNFLE gene mutations detected (Negative)N/A

Specimen: whole-blood

No special preparation required. Inform laboratory of any recent blood transfusions as this may affect results. Provide family history of epilepsy or seizure disorders.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is this test painful?
The blood draw may cause brief discomfort, similar to a pinprick. Most people tolerate it well with minimal pain.
Will my insurance cover this genetic test?
Coverage varies by insurance plan. Many plans cover genetic testing when recommended by a doctor for diagnostic purposes. We recommend checking with your insurance provider before the test.
Do I need to fast before this test?
No, you do not need to fast. You can eat and drink normally before the blood draw.
Should my family members also get tested?
If a mutation is found, your doctor may recommend genetic counseling to discuss testing for family members. This is especially important for siblings, parents, and children.
Can this test predict if I will develop seizures?
This test is used to diagnose ADNFLE in people who already have symptoms. It is not typically used to predict future seizures in people without symptoms, unless there is a strong family history.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy