Could the 2017 ILAE and the four-dimensional epilepsy
classifications be merged to a new

J 2020

Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?

ROSENOW, F., N. AKAMATSU, T. BAST, S. BAUER, C. BAUMGARTNER et. al.

Basic information

Original name

Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?

Authors

ROSENOW, F. (276 Germany, guarantor), N. AKAMATSU (392 Japan), T. BAST (276 Germany), S. BAUER (276 Germany), C. BAUMGARTNER (40 Austria), S. BENBADIS (840 United States of America), A. BERMEO-OVALLE (840 United States of America), S. BEYENBURG (442 Luxembourg), A. BLEASEL (36 Australia), A. BOZORGI (840 United States of America), Milan BRÁZDIL (203 Czech Republic, belonging to the institution), M. CARRENO (724 Spain), N. DELANTY (372 Ireland), M. DEVEREAUX (840 United States of America), J. DUNCAN (826 United Kingdom of Great Britain and Northern Ireland), G. F. B. VACA (840 United States of America), S. FRANCIONE (380 Italy), N. G. LOSARCOS (840 United States of America), L. GHANMA (840 United States of America), A. GIL-NAGEL (724 Spain), H. HAMER (276 Germany), H. HOLTHAUSEN (276 Germany), S. J. OMIDI (840 United States of America), P. KAHANE (250 France), G. KALAMANGALAM (840 United States of America), A. KANNER (840 United States of America), S. KNAKE (276 Germany), S. KOVAC (276 Germany), K. KRAKOW (276 Germany), G. KRAMER (756 Switzerland), G. KURLEMANN (276 Germany), N. LACUEY (840 United States of America), P. LANDAZURI (840 United States of America), S. H. LIM (702 Singapore), L. V. LONDONO (170 Colombia), G. LORUSSO (380 Italy), H. LUDERS (276 Germany), J. MANI (356 India), R. MATSUMOTO (392 Japan), J. MILLER (840 United States of America), S. NOACHTAR (276 Germany), R. O DWYER (840 United States of America), A. PALMINI (76 Brazil), J. PARK (840 United States of America), P. S. REIF (276 Germany), J. REMI (372 Ireland), A. C. SAKAMOTO (76 Brazil), B. SCHMITZ (276 Germany), S. SCHUBERT-BAST (276 Germany), S. SCHUELE (840 United States of America), A. SHAHID (840 United States of America), B. STEINHOFF (276 Germany), A. STRZELCZYK (276 Germany), C. A. SZABO (840 United States of America), N. TANDON (840 United States of America), K. TERADA (392 Japan), M. TOLEDO (724 Spain), W. V. BOAS (528 Netherlands), M. WALKER (840 United States of America) and P. WIDDESS-WALSH (372 Ireland)

Edition

Seizure-European journal of epilepsy, London, W.B. Saunders Ltd. 2020, 1059-1311

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30103 Neurosciences

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.184

RIV identification code

RIV/00216224:14110/20:00115998

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.seizure.2020.02.018

UT WoS

000537574100005

Keywords in English

Epilepsy classification; 2017 ILAE classification; Semiological seizure classification; Classification merger; Integrated epilepsy classsifcation; Four-dimensional epilepsy; Classification

Abstract

V originále

Over the last few decades the ILAE classifications for seizures and epilepsies (ILAE-EC) have been updated repeatedly to reflect the substantial progress that has been made in diagnosis and understanding of the etiology of epilepsies and seizures and to correct some of the shortcomings of the terminology used by the original taxonomy from the 1980s. However, these proposals have not been universally accepted or used in routine clinical practice. During the same period, a separate classification known as the "Four-dimensional epilepsy classification" (4D-EC) was developed which includes a seizure classification based exclusively on ictal symptomatology, which has been tested and adapted over the years. The extensive arguments for and against these two classification systems made in the past have mainly focused on the shortcomings of each system, presuming that they are incompatible. As a further more detailed discussion of the differences seemed relatively unproductive, we here review and assess the concordance between these two approaches that has evolved over time, to consider whether a classification incorporating the best aspects of the two approaches is feasible. To facilitate further discussion in this direction we outline a concrete proposal showing how such a compromise could be accomplished, the "Integrated Epilepsy Classification". This consists of five categories derived to different degrees from both of the classification systems: 1) a "Headline" summarizing localization and etiology for the less specialized users, 2) "Seizure type(s)", 3) "Epilepsy type" (focal, generalized or unknown allowing to add the epilepsy syndrome if available), 4) "Etiology", and 5) "Comorbidities & patient preferences".

Citovat

ROSENOW, F., N. AKAMATSU, T. BAST, S. BAUER, C. BAUMGARTNER, S. BENBADIS, A. BERMEO-OVALLE, S. BEYENBURG, A. BLEASEL, A. BOZORGI, Milan BRÁZDIL, M. CARRENO, N. DELANTY, M. DEVEREAUX, J. DUNCAN, G. F. B. VACA, S. FRANCIONE, N. G. LOSARCOS, L. GHANMA, A. GIL-NAGEL, H. HAMER, H. HOLTHAUSEN, S. J. OMIDI, P. KAHANE, G. KALAMANGALAM, A. KANNER, S. KNAKE, S. KOVAC, K. KRAKOW, G. KRAMER, G. KURLEMANN, N. LACUEY, P. LANDAZURI, S. H. LIM, L. V. LONDONO, G. LORUSSO, H. LUDERS, J. MANI, R. MATSUMOTO, J. MILLER, S. NOACHTAR, R. O DWYER, A. PALMINI, J. PARK, P. S. REIF, J. REMI, A. C. SAKAMOTO, B. SCHMITZ, S. SCHUBERT-BAST, S. SCHUELE, A. SHAHID, B. STEINHOFF, A. STRZELCZYK, C. A. SZABO, N. TANDON, K. TERADA, M. TOLEDO, W. V. BOAS, M. WALKER and P. WIDDESS-WALSH. Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"? Seizure-European journal of epilepsy. London: W.B. Saunders Ltd., 2020, vol. 78, MAY 2020, p. 31-37. ISSN 1059-1311. Available from: https://dx.doi.org/10.1016/j.seizure.2020.02.018.

@article{1670457,
   author = {Rosenow, F. and Akamatsu, N. and Bast, T. and Bauer, S. and Baumgartner, C. and Benbadis, S. and BermeoandOvalle, A. and Beyenburg, S. and Bleasel, A. and Bozorgi, A. and Brázdil, Milan and Carreno, M. and Delanty, N. and Devereaux, M. and Duncan, J. and Vaca, G. F. B. and Francione, S. and Losarcos, N. G. and Ghanma, L. and GilandNagel, A. and Hamer, H. and Holthausen, H. and Omidi, S. J. and Kahane, P. and Kalamangalam, G. and Kanner, A. and Knake, S. and Kovac, S. and Krakow, K. and Kramer, G. and Kurlemann, G. and Lacuey, N. and Landazuri, P. and Lim, S. H. and Londono, L. V. and LoRusso, G. and Luders, H. and Mani, J. and Matsumoto, R. and Miller, J. and Noachtar, S. and O Dwyer, R. and Palmini, A. and Park, J. and Reif, P. S. and Remi, J. and Sakamoto, A. C. and Schmitz, B. and SchubertandBast, S. and Schuele, S. and Shahid, A. and Steinhoff, B. and Strzelczyk, A. and Szabo, C. A. and Tandon, N. and Terada, K. and Toledo, M. and Boas, W. V. and Walker, M. and WiddessandWalsh, P.},
   article_location = {London},
   article_number = {MAY 2020},
   doi = {http://dx.doi.org/10.1016/j.seizure.2020.02.018},
   keywords = {Epilepsy classification; 2017 ILAE classification; Semiological seizure classification; Classification merger; Integrated epilepsy classsifcation; Four-dimensional epilepsy; Classification},
   language = {eng},
   issn = {1059-1311},
   journal = {Seizure-European journal of epilepsy},
   title = {Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?},
   url = {https://www.sciencedirect.com/science/article/pii/S1059131120300674?via%3Dihub},
   volume = {78},
   year = {2020}
}

TY  - JOUR
ID  - 1670457
AU  - Rosenow, F. - Akamatsu, N. - Bast, T. - Bauer, S. - Baumgartner, C. - Benbadis, S. - Bermeo-Ovalle, A. - Beyenburg, S. - Bleasel, A. - Bozorgi, A. - Brázdil, Milan - Carreno, M. - Delanty, N. - Devereaux, M. - Duncan, J. - Vaca, G. F. B. - Francione, S. - Losarcos, N. G. - Ghanma, L. - Gil-Nagel, A. - Hamer, H. - Holthausen, H. - Omidi, S. J. - Kahane, P. - Kalamangalam, G. - Kanner, A. - Knake, S. - Kovac, S. - Krakow, K. - Kramer, G. - Kurlemann, G. - Lacuey, N. - Landazuri, P. - Lim, S. H. - Londono, L. V. - LoRusso, G. - Luders, H. - Mani, J. - Matsumoto, R. - Miller, J. - Noachtar, S. - O Dwyer, R. - Palmini, A. - Park, J. - Reif, P. S. - Remi, J. - Sakamoto, A. C. - Schmitz, B. - Schubert-Bast, S. - Schuele, S. - Shahid, A. - Steinhoff, B. - Strzelczyk, A. - Szabo, C. A. - Tandon, N. - Terada, K. - Toledo, M. - Boas, W. V. - Walker, M. - Widdess-Walsh, P.
PY  - 2020
TI  - Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?
JF  - Seizure-European journal of epilepsy
VL  - 78
IS  - MAY 2020
SP  - 31-37
EP  - 31-37
PB  - W.B. Saunders Ltd.
SN  - 10591311
KW  - Epilepsy classification
KW  - 2017 ILAE classification
KW  - Semiological seizure classification
KW  - Classification merger
KW  - Integrated epilepsy classsifcation
KW  - Four-dimensional epilepsy
KW  - Classification
UR  - https://www.sciencedirect.com/science/article/pii/S1059131120300674?via%3Dihub
L2  - https://www.sciencedirect.com/science/article/pii/S1059131120300674?via%3Dihub
N2  - Over the last few decades the ILAE classifications for seizures and epilepsies (ILAE-EC) have been updated repeatedly to reflect the substantial progress that has been made in diagnosis and understanding of the etiology of epilepsies and seizures and to correct some of the shortcomings of the terminology used by the original taxonomy from the 1980s. However, these proposals have not been universally accepted or used in routine clinical practice. During the same period, a separate classification known as the "Four-dimensional epilepsy classification" (4D-EC) was developed which includes a seizure classification based exclusively on ictal symptomatology, which has been tested and adapted over the years. The extensive arguments for and against these two classification systems made in the past have mainly focused on the shortcomings of each system, presuming that they are incompatible. As a further more detailed discussion of the differences seemed relatively unproductive, we here review and assess the concordance between these two approaches that has evolved over time, to consider whether a classification incorporating the best aspects of the two approaches is feasible. To facilitate further discussion in this direction we outline a concrete proposal showing how such a compromise could be accomplished, the "Integrated Epilepsy Classification". This consists of five categories derived to different degrees from both of the classification systems: 1) a "Headline" summarizing localization and etiology for the less specialized users, 2) "Seizure type(s)", 3) "Epilepsy type" (focal, generalized or unknown allowing to add the epilepsy syndrome if available), 4) "Etiology", and 5) "Comorbidities & patient preferences".
ER  -

ROSENOW, F., N. AKAMATSU, T. BAST, S. BAUER, C. BAUMGARTNER, S. BENBADIS, A. BERMEO-OVALLE, S. BEYENBURG, A. BLEASEL, A. BOZORGI, Milan BRÁZDIL, M. CARRENO, N. DELANTY, M. DEVEREAUX, J. DUNCAN, G. F. B. VACA, S. FRANCIONE, N. G. LOSARCOS, L. GHANMA, A. GIL-NAGEL, H. HAMER, H. HOLTHAUSEN, S. J. OMIDI, P. KAHANE, G. KALAMANGALAM, A. KANNER, S. KNAKE, S. KOVAC, K. KRAKOW, G. KRAMER, G. KURLEMANN, N. LACUEY, P. LANDAZURI, S. H. LIM, L. V. LONDONO, G. LORUSSO, H. LUDERS, J. MANI, R. MATSUMOTO, J. MILLER, S. NOACHTAR, R. O DWYER, A. PALMINI, J. PARK, P. S. REIF, J. REMI, A. C. SAKAMOTO, B. SCHMITZ, S. SCHUBERT-BAST, S. SCHUELE, A. SHAHID, B. STEINHOFF, A. STRZELCZYK, C. A. SZABO, N. TANDON, K. TERADA, M. TOLEDO, W. V. BOAS, M. WALKER and P. WIDDESS-WALSH. Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new ''Integrated Epilepsy Classification''? \textit{Seizure-European journal of epilepsy}. London: W.B. Saunders Ltd., 2020, vol.~78, MAY 2020, p.~31-37. ISSN~1059-1311. Available from: https://dx.doi.org/10.1016/j.seizure.2020.02.018.

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