Critique of the 2017 epileptic seizure and epilepsy classifications.
classification
epileptogenic zone
etiology
semiology
Journal
Epilepsia
ISSN: 1528-1167
Titre abrégé: Epilepsia
Pays: United States
ID NLM: 2983306R
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
25
05
2018
revised:
15
08
2018
accepted:
04
03
2019
pubmed:
30
3
2019
medline:
11
4
2020
entrez:
30
3
2019
Statut:
ppublish
Résumé
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(1) they mix semiological terms with epileptogenic zone terminology; (2) simple and widely accepted terminology has been replaced by complex terminology containing less information; (3) seizure evolution cannot be described in any detail; (4) in the four-level epilepsy classification, level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.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1032-1039Commentaires et corrections
Type : CommentIn
Informations de copyright
Wiley Periodicals, Inc. © 2019 International League Against Epilepsy.