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Critique of the 2017 epileptic seizure and epilepsy classifications.
Lüders, Hans; Akamatsu, Naoki; Amina, Shahram; Baumgartner, Christoph; Benbadis, Selim; Bermeo-Ovalle, Adriana; Bleasel, Andrew; Bozorgi, Alireza; Carreño, Mar; Devereaux, Michael; Fernandez-Baca Vaca, Guadalupe; Francione, Stefano; García Losarcos, Naiara; Hamer, Hajo; Holthausen, Hans; Jamal Omidi, Shirin; Kalamangalam, Giridhar; Kanner, Andrés; Knake, Susanne; Lacuey, Nuria; Lhatoo, Samden; Lim, Shih-Hui; Mani, Jayanthi; Matsumoto, Riki; Miller, Jonathan; Noachtar, Soheyl; Palmini, André; Park, Jun; Rosenow, Felix; Shahid, Asim; Schuele, Stephan; Steinhoff, Bernhard; Szabo, Charles Ákos; Tandon, Nitin; Terada, Kiyohito; Van Emde Boas, Walter; Widdess-Walsh, Peter; Kahane, Philippe.
Affiliation
  • Lüders H; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Akamatsu N; Department of Neurology, International University of Health and Welfare School of Medicine, Narita, Japan.
  • Amina S; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Baumgartner C; Department of Neurology, Rosenhügel Neurological Center, Hietzing General Hospital, Vienna, Austria.
  • Benbadis S; Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology, Medical Faculty, Sigmund Freud University, Vienna, Austria.
  • Bermeo-Ovalle A; Departments of Neurology and Neurosurgery, University of South Florida, Tampa, Florida.
  • Bleasel A; Department of Neurological Sciences, Rush University Medical Center, Chicago, Illinois.
  • Bozorgi A; Department of Neurology, Westmead Hospital, University of Sydney, Westmead, New South Wales, Australia.
  • Carreño M; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Devereaux M; Epilepsy Unit, Clinical Hospital, Barcelona, Spain.
  • Fernandez-Baca Vaca G; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Francione S; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • García Losarcos N; Claudio Munari Epilepsy Surgery Center, Niguarda Hospital, Milan, Italy.
  • Hamer H; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Holthausen H; Department of Neurology, University of Erlangen, Erlangen, Germany.
  • Jamal Omidi S; Neuropediatric Clinic and Clinic for Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schoen Clinic, Vogtareuth, Germany.
  • Kalamangalam G; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Kanner A; Department of Neurology, University of Florida, Gainesville, Florida.
  • Knake S; Comprehensive Epilepsy Center, Miller School of Medicine, University of Miami, Miami, Florida.
  • Lacuey N; Department of Neurology, Marburg University Hospital, Marburg, Germany.
  • Lhatoo S; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Lim SH; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Mani J; Department of Neurology, National Neuroscience Institute, Singapore City, Singapore.
  • Matsumoto R; Kokilaben Dhirubhai Ambani Hospital and Research Center, Mumbai, India.
  • Miller J; Department of Neurology, Kyoto University Hospital, Kyoto, Japan.
  • Noachtar S; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Palmini A; Department of Neurology, University of Munich Hospital, Ludwig Maximilian University, Munich, Germany.
  • Park J; Neurology Service and Epilepsy Surgery Program, School of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Rosenow F; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Shahid A; Neurology and Neurosurgery Center, Frankfurt University Hospital, Goethe University, Frankfurt am Main, Germany.
  • Schuele S; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Steinhoff B; Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
  • Szabo CÁ; Kork Epilepsy Center, Kehl-Kork, Germany.
  • Tandon N; Department of Neurology, Health Science Center, University of Texas, San Antonio, Texas.
  • Terada K; Department of Neurosurgery, Memorial Hermann Texas Medical Center, Houston, Texas.
  • Van Emde Boas W; Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka, Japan.
  • Widdess-Walsh P; Department of Clinical Neurophysiology, Epilepsy Institutions Netherlands Foundation, Hoofddorp, The Netherlands.
  • Kahane P; National Centre for Epilepsy Surgery, Beaumont Hospital, Dublin, Ireland.
Epilepsia ; 60(6): 1032-1039, 2019 06.
Article in En | MEDLINE | ID: mdl-30924146
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.
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Full text: 1 Database: MEDLINE Main subject: Seizures / Epilepsy Limits: Humans Language: En Journal: Epilepsia Year: 2019 Type: Article

Full text: 1 Database: MEDLINE Main subject: Seizures / Epilepsy Limits: Humans Language: En Journal: Epilepsia Year: 2019 Type: Article