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Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology.

Identifieur interne : 000E60 ( PubMed/Curation ); précédent : 000E59; suivant : 000E61

Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology.

Auteurs : Robert S. Fisher [États-Unis] ; J Helen Cross [Royaume-Uni] ; Jacqueline A. French [États-Unis] ; Norimichi Higurashi [Japon] ; Edouard Hirsch [France] ; Floor E. Jansen [Pays-Bas] ; Lieven Lagae [Belgique] ; Solomon L. Moshé [États-Unis] ; Jukka Peltola [Finlande] ; Eliane Roulet Perez [Suisse] ; Ingrid E. Scheffer [Australie] ; Sameer M. Zuberi [Royaume-Uni]

Source :

RBID : pubmed:28276060

Descripteurs français

English descriptors

Abstract

The International League Against Epilepsy (ILAE) presents a revised operational classification of seizure types. The purpose of such a revision is to recognize that some seizure types can have either a focal or generalized onset, to allow classification when the onset is unobserved, to include some missing seizure types, and to adopt more transparent names. Because current knowledge is insufficient to form a scientifically based classification, the 2017 Classification is operational (practical) and based on the 1981 Classification, extended in 2010. Changes include the following: (1) "partial" becomes "focal"; (2) awareness is used as a classifier of focal seizures; (3) the terms dyscognitive, simple partial, complex partial, psychic, and secondarily generalized are eliminated; (4) new focal seizure types include automatisms, behavior arrest, hyperkinetic, autonomic, cognitive, and emotional; (5) atonic, clonic, epileptic spasms, myoclonic, and tonic seizures can be of either focal or generalized onset; (6) focal to bilateral tonic-clonic seizure replaces secondarily generalized seizure; (7) new generalized seizure types are absence with eyelid myoclonia, myoclonic absence, myoclonic-atonic, myoclonic-tonic-clonic; and (8) seizures of unknown onset may have features that can still be classified. The new classification does not represent a fundamental change, but allows greater flexibility and transparency in naming seizure types.

DOI: 10.1111/epi.13670
PubMed: 28276060

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pubmed:28276060

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<div type="abstract" xml:lang="en">The International League Against Epilepsy (ILAE) presents a revised operational classification of seizure types. The purpose of such a revision is to recognize that some seizure types can have either a focal or generalized onset, to allow classification when the onset is unobserved, to include some missing seizure types, and to adopt more transparent names. Because current knowledge is insufficient to form a scientifically based classification, the 2017 Classification is operational (practical) and based on the 1981 Classification, extended in 2010. Changes include the following: (1) "partial" becomes "focal"; (2) awareness is used as a classifier of focal seizures; (3) the terms dyscognitive, simple partial, complex partial, psychic, and secondarily generalized are eliminated; (4) new focal seizure types include automatisms, behavior arrest, hyperkinetic, autonomic, cognitive, and emotional; (5) atonic, clonic, epileptic spasms, myoclonic, and tonic seizures can be of either focal or generalized onset; (6) focal to bilateral tonic-clonic seizure replaces secondarily generalized seizure; (7) new generalized seizure types are absence with eyelid myoclonia, myoclonic absence, myoclonic-atonic, myoclonic-tonic-clonic; and (8) seizures of unknown onset may have features that can still be classified. The new classification does not represent a fundamental change, but allows greater flexibility and transparency in naming seizure types.</div>
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<AbstractText>The International League Against Epilepsy (ILAE) presents a revised operational classification of seizure types. The purpose of such a revision is to recognize that some seizure types can have either a focal or generalized onset, to allow classification when the onset is unobserved, to include some missing seizure types, and to adopt more transparent names. Because current knowledge is insufficient to form a scientifically based classification, the 2017 Classification is operational (practical) and based on the 1981 Classification, extended in 2010. Changes include the following: (1) "partial" becomes "focal"; (2) awareness is used as a classifier of focal seizures; (3) the terms dyscognitive, simple partial, complex partial, psychic, and secondarily generalized are eliminated; (4) new focal seizure types include automatisms, behavior arrest, hyperkinetic, autonomic, cognitive, and emotional; (5) atonic, clonic, epileptic spasms, myoclonic, and tonic seizures can be of either focal or generalized onset; (6) focal to bilateral tonic-clonic seizure replaces secondarily generalized seizure; (7) new generalized seizure types are absence with eyelid myoclonia, myoclonic absence, myoclonic-atonic, myoclonic-tonic-clonic; and (8) seizures of unknown onset may have features that can still be classified. The new classification does not represent a fundamental change, but allows greater flexibility and transparency in naming seizure types.</AbstractText>
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<Affiliation>Florey Institute and University of Melbourne, Austin Health and Royal Children's Hospital, Melbourne, Victoria, Australia.</Affiliation>
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<Affiliation>The Paediatric Neurosciences Research Group, Royal Hospital for Children, Glasgow, United Kingdom.</Affiliation>
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<Affiliation>College of Medicine, Veterinary & Life Sciences, University of Glasgow, Glasgow, United Kingdom.</Affiliation>
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<Month>03</Month>
<Day>08</Day>
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<Country>United States</Country>
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<DescriptorName UI="D004827" MajorTopicYN="Y">Epilepsy</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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<DescriptorName UI="D012640" MajorTopicYN="N">Seizures</DescriptorName>
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<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
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<Keyword MajorTopicYN="N">Epilepsy</Keyword>
<Keyword MajorTopicYN="N">Focal</Keyword>
<Keyword MajorTopicYN="N">Generalized</Keyword>
<Keyword MajorTopicYN="N">Seizures</Keyword>
<Keyword MajorTopicYN="N">Taxonomy</Keyword>
</KeywordList>
</MedlineCitation>
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<Year>2016</Year>
<Month>12</Month>
<Day>21</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2017</Year>
<Month>3</Month>
<Day>10</Day>
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<Minute>0</Minute>
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<Year>2017</Year>
<Month>6</Month>
<Day>27</Day>
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<Day>10</Day>
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<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pubmed">28276060</ArticleId>
<ArticleId IdType="doi">10.1111/epi.13670</ArticleId>
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