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DOI: 10.1055/s-2008-1079332
Classification
Publikationsverlauf
Publikationsdatum:
24. Juli 2008 (online)
ABSTRACT
In this article, we review the practical approach and diagnostic relevance of current seizure and epilepsy classification concepts and principles as a basic framework for good management of patients with epileptic seizures and epilepsy. Inaccurate generalizations about terminology, diagnosis, and treatment may be the single most important factor, next to an inadequately obtained history, that determines the misdiagnosis and mismanagement of patients with epilepsy. A stepwise signs and symptoms approach for diagnosis, evaluation, and management along the guidelines of the International League Against Epilepsy and definitions of epileptic seizures and epilepsy syndromes offers a state-of-the-art clinical approach to managing patients with epilepsy.
KEYWORDS
Seizure semiology - epileptic syndromes - International League Against Epilepsy (ILAE) - seizure - epilepsy classification
REFERENCES
- 1 Gastaut H. Epileptic seizures: clinical and electroencephalographical classification of epileptic seizures. Epilepsia. 1970; 11 102-113
- 2 Commission on Classification and Terminology of the International League Against Epilepsy . Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia. 1981; 22 489-501
- 3 Commission on Classification and Terminology of the International League Against Epilepsy . Proposal for classification of epilepsies and epileptic syndromes. Epilepsia. 1985; 26 268-278
- 4 Commission on Classification and Terminology of the International League Against Epilepsy . Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia. 1989; 30 389-399
- 5 Engel Jr J. International League Against Epilepsy (ILAE) . A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: report of the ILAE Task Force on Classification and Terminology. Epilepsia. 2001; 42 796-803
- 6 Engel Jr J. Report of the ILAE classification core group. Epilepsia. 2006; 47 1558-1568
- 7 Engel Jr J. ILAE classification of epilepsy syndromes. Epilepsy Res. 2006; 70(suppl 1) S5-S10
- 8 Blume W T, Luders H O, Mizrahi E, Tassinari C, van Emde Boas B W, Engel J. Glossary of descriptive terminology for ictal semiology: report of the ILAE Task Force on Classification and Terminology. Epilepsia. 2001; 42 1212-1218
- 9 Wolf P. Of cabbages and kings: some consideration on classifications, diagnostic schemes, semiology and concepts. Epilepsia. 2003; 44 1-4
- 10 Hennig W. Phylogenetic Systematics. Urbana, IL; University of Illinois Press 1966
- 11 Wolf P. Basic principles of the ILAE syndrome classification. Epilepsy Res. 2006; 70(suppl 1) S20-S26
- 12 Lüders H, Archarya J, Baumgartner C et al.. Semiological seizure classification. Epilepsia. 1998; 39 1006-1013
- 13 Lüders H O, Acharya J, Alexopoulos A et al.. Are epilepsy classifications based on epileptic syndromes and seizure types outdated?. Epileptic Disord. 2006; 8 81-85
- 14 Engel Jr J. Classification is not EZ. Epileptic Disord. 2005; 7 317-320
- 15 Engel Jr J, Berg A, Andermann F et al.. Are epilepsy classifications based on epileptic syndromes and seizure types outdated?. Epileptic Disord. 2006; 8 159-160
- 16 Berg A T, Blackstone N W. Concepts in classification and their relevance to epilepsy. Epilepsy Res. 2006; 70(suppl 1) S11-S19
- 17 Panayiotopoulos P. A Clinical Guide to Epileptic Syndromes and Their Treatment. 2nd ed. London; Springer Verlag 2007
- 18 Panayiotopoulos C P. The Epileptic Seizures, Syndromes and Management. Oxford; Bladon Medical Publishing 2005
- 19 Fisher R S, van Emde Boas W, Elger C et al.. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005; 46 470-472
- 20 Jackson J H. In: Taylor J Selected Writings of John Hughlings Jackson. London; Hodder and Stoughton 1931
- 21 Gowers W R. Epilepsy and Other Chronic Convulsive Diseases: Their Causes, Symptoms, and Treatment. 2nd ed. London; J&A Churchhill 1901
- 22 Commission on Epidemiology and Prognosis, International League Against Epilepsy . Guidelines for epidemiologic studies on epilepsy. Epilepsia. 1993; 34 592-596
- 23 ILAE Commission Report . The epidemiology of the epilepsies: future directions. International League against Epilepsy. Epilepsia. 1997; 38 614-618
- 24 Hauser W A, Rich S S, Annegers J F, Anderson V E. Seizure recurrence after a 1st unprovoked seizure: an extended follow up. Neurology. 1990; 40 1163-1170
- 25 Krumholz A, Wiebe S, Gronseth G et al.. Practice parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology. 2007; 69 1996-2007
- 26 Hirtz D, Ashwal S, Berg A et al.. Practice parameter: evaluating a first nonfebrile seizure in children. Report of the Quality Standards Subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society. Neurology. 2000; 55 616-623
- 27 Roger J, Bureau M, Dravet C et al.. Epileptic Syndromes in Infancy, Childhood and Adolescence. 4th ed. Montrouge, France; John Libbey Eurotext 2005
Ingrid TuxhornM.D.
Section of Pediatric Epilepsy, Epilepsy Center, Cleveland Clinic Neurological Institute
9500 Euclid Avenue, Cleveland, OH 44195
eMail: tuxhori@ccf.org