ILAE classification and definition of epilepsy syndromes with onset in neonates and infants: Position statement by the ILAE Task Force on Nosology and Definitions.

Dravet syndrome developmental and epileptic encephalopathy epilepsy of infancy with migrating focal seizures infantile spasms self-limited epilepsies

Journal

Epilepsia
ISSN: 1528-1167
Titre abrégé: Epilepsia
Pays: United States
ID NLM: 2983306R

Informations de publication

Date de publication:
06 2022
Historique:
revised: 20 03 2022
received: 23 04 2021
accepted: 21 03 2022
pubmed: 4 5 2022
medline: 7 6 2022
entrez: 3 5 2022
Statut: ppublish

Résumé

The International League Against Epilepsy (ILAE) Task Force on Nosology and Definitions proposes a classification and definition of epilepsy syndromes in the neonate and infant with seizure onset up to 2 years of age. The incidence of epilepsy is high in this age group and epilepsy is frequently associated with significant comorbidities and mortality. The licensing of syndrome specific antiseizure medications following randomized controlled trials and the development of precision, gene-related therapies are two of the drivers defining the electroclinical phenotypes of syndromes with onset in infancy. The principal aim of this proposal, consistent with the 2017 ILAE Classification of the Epilepsies, is to support epilepsy diagnosis and emphasize the importance of classifying epilepsy in an individual both by syndrome and etiology. For each syndrome, we report epidemiology, clinical course, seizure types, electroencephalography (EEG), neuroimaging, genetics, and differential diagnosis. Syndromes are separated into self-limited syndromes, where there is likely to be spontaneous remission and developmental and epileptic encephalopathies, diseases where there is developmental impairment related to both the underlying etiology independent of epileptiform activity and the epileptic encephalopathy. The emerging class of etiology-specific epilepsy syndromes, where there is a specific etiology for the epilepsy that is associated with a clearly defined, relatively uniform, and distinct clinical phenotype in most affected individuals as well as consistent EEG, neuroimaging, and/or genetic correlates, is presented. The number of etiology-defined syndromes will continue to increase, and these newly described syndromes will in time be incorporated into this classification. The tables summarize mandatory features, cautionary alerts, and exclusionary features for the common syndromes. Guidance is given on the criteria for syndrome diagnosis in resource-limited regions where laboratory confirmation, including EEG, MRI, and genetic testing, might not be available.

Identifiants

pubmed: 35503712
doi: 10.1111/epi.17239
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1349-1397

Informations de copyright

© 2022 The Authors. Epilepsia published by Wiley Periodicals LLC on behalf of International League Against Epilepsy.

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Auteurs

Sameer M Zuberi (SM)

Paediatric Neurosciences Research Group, Royal Hospital for Children, Institute of Health & Wellbeing, Collaborating Centre of European Reference Network EpiCARE, University of Glasgow, Glasgow, UK.

Elaine Wirrell (E)

Divisions of Child and Adolescent Neurology and Epilepsy, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Elissa Yozawitz (E)

Isabelle Rapin Division of Child Neurology, Saul R. Korey Department of Neurology, Montefiore Medical Center, Bronx, New York, USA.

Jo M Wilmshurst (JM)

Department of Paediatric Neurology, Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.

Nicola Specchio (N)

Rare and Complex Epilepsy Unit, Department of Neuroscience, Bambino Gesu' Children's Hospital, IRCCS, Member of European Reference Network EpiCARE, Rome, Italy.

Kate Riney (K)

Neurosciences Unit, Queensland Children's Hospital, South Brisbane, Queensland, Australia.
Faculty of Medicine, University of Queensland, St Lucia, Queensland, Australia.

Ronit Pressler (R)

Clinical Neuroscience, UCL- Great Ormond Street Institute of Child Health, London, UK.
Department of Clinical Neurophysiology, Great Ormond Street Hospital for Children NHS Foundation Trust, Member of European Reference Network EpiCARE, London, UK.

Stephane Auvin (S)

AP-HP, Hôpital Robert-Debré, INSERM NeuroDiderot, DMU Innov-RDB, Neurologie Pédiatrique, Member of European Reference Network EpiCARE, Université de Paris, Paris, France.

Pauline Samia (P)

Department of Paediatrics and Child Health, Aga Khan University, Nairobi, Kenya.

Edouard Hirsch (E)

Neurology Epilepsy Unit "Francis Rohmer", INSERM 1258, FMTS, Strasbourg University, Strasbourg, France.

Santiago Galicchio (S)

Child Neurology Department, Victor J Vilela Child Hospital of Rosario, Santa Fe, Argentina.

Chahnez Triki (C)

Child Neurology Department, LR19ES15 Neuropédiatrie, Sfax Medical School, University of Sfax, Sfax, Tunisia.

O Carter Snead (OC)

Pediatric Neurology, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Samuel Wiebe (S)

Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.

J Helen Cross (JH)

Programme of Developmental Neurosciences, UCL NIHR BRC Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, Member of European Reference Network EpiCARE, London, UK.
Young Epilepsy, Lingfield, UK.

Paolo Tinuper (P)

Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
IRCCS Istituto delle Scienze Neurologiche, Bologna, Italy.

Ingrid E Scheffer (IE)

Austin Health and Royal Children's Hospital, Florey Institute, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Victoria, Australia.

Emilio Perucca (E)

Department of Neuroscience, Monash University, Melbourne, Victoria, Australia.
Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia.

Solomon L Moshé (SL)

Isabelle Rapin Division of Child Neurology, Saul R. Korey Department of Neurology, Bronx, New York, USA.
Departments of Neuroscience and Pediatrics, Albert Einstein College of Medicine, Bronx, New York, USA.
Montefiore Medical Center, Bronx, New York, USA.

Rima Nabbout (R)

Reference Centre for Rare Epilepsies, Department of Pediatric Neurology, Necker-Enfants Malades University Hospital, APHP, Member of European Reference Network EpiCARE, Institut Imagine, INSERM, UMR 1163, Université Paris cité, Paris, France.

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