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.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30103 Neurosciences
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW 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
Tags 14110127, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 16/7/2020 07:47.
Abstract
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".
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