Critique of the 2017 epileptic seizure and epilepsy classifications

Autor: Stephan U. Schuele, Asim Shahid, Andres M. Kanner, Riki Matsumoto, Alireza Bozorgi, Jayanthi Mani, Christoph Baumgartner, Charles Ákos Szabó, Naiara García Losarcos, Nitin Tandon, Mar Carreño, Stefano Francione, Kiyohito Terada, Nuria Lacuey, Giridhar P. Kalamangalam, Hans Holthausen, Hans O. Lüders, André Palmini, Walter van Emde Boas, Bernhard J. Steinhoff, Samden D. Lhatoo, Naoki Akamatsu, Jonathan P. Miller, Selim R. Benbadis, Susanne Knake, Andrew Bleasel, Peter Widdess-Walsh, Shahram Amina, Shih-Hui Lim, Michael Devereaux, Jun T. Park, Shirin Jamal Omidi, Soheyl Noachtar, Adriana Bermeo-Ovalle, Hajo M. Hamer, Felix Rosenow, Philippe Kahane, Guadalupe Fernandez-Baca Vaca
Rok vydání: 2019
Předmět:
Zdroj: Epilepsia.
ISSN: 1528-1167
0013-9580
DOI: 10.1111/epi.14699
Popis: This article critiques the International League Against Epilepsy (ILAE) 2015-2017 classifications of epilepsy, epileptic seizures, and status epilepticus. It points out the following shortcomings of the ILAE classifications: (1) they mix semiological terms with epileptogenic zone terminology; (2) simple and widely accepted terminology has been replaced by complex terminology containing less information; (3) seizure evolution cannot be described in any detail; (4) in the four-level epilepsy classification, level two (epilepsy category) overlaps almost 100% with diagnostic level one (seizure type); and (5) the design of different classifications with distinct frameworks for newborns, adults, and patients in status epilepticus is confusing. The authors stress the importance of validating the new ILAE classifications and feel that the decision of Epilepsia to accept only manuscripts that use the ILAE classifications is premature and regrettable.
Databáze: OpenAIRE