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Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"
F. Rosenow, N. Akamatsu, T. Bast, S. Bauer, C. Baumgartner, S. Benbadis, A. Bermeo-Ovalle, S. Beyenburg, A. Bleasel, A. Bozorgi, M. Brázdil, M. Carreño, N. Delanty, M. Devereaux, J. Duncan, G. Fernandez-Baca Vaca, S. Francione, N. García...
Language English Country Great Britain
Document type Journal Article, Review
- MeSH
- Epilepsy classification MeSH
- Humans MeSH
- Practice Guidelines as Topic * MeSH
- Societies, Medical * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
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".
Asklepios Hospital for Neurology Falkenstein Koenigstein Falkenstein Germany
Claudio Munari Epilepsy Surgery Center ASST Grande Ospedale Metropolitano Niguarda Milano Italy
Department of Brain and Nervous System Kokilaben Dhirubhai Ambani Hospital Mumbai India
Department of Neurology Shizuoka Institute of Epilepsy and Neurological Disorders Shizuoka Japan
Department of Neurology Vivantes Humboldt Klinikum Berlin Germany
Division of Neurology Kobe University Graduate School of Medicine Kobe Japan
Epilepsy Center Department of Neurology University Hospital Erlangen Erlangen Germany
Epilepsy Center Hessen Philipps University Marburg Marburg Germany
Epilepsy Center Kork Kehl Germany
Epilepsy Center Northwestern University Feinberg School of Medicine
Epilepsy Center University Hospitals Cleveland Medical Center Cleveland OH USA
Epilepsy Division Department of Neurology University of Kansas Medical Center Kansas City USA
Epilepsy Program Hospital Ruber Internacional Madrid Spain
Epilepsy Section Department of Neurological Sciences Rush University Medical Center Chicago USA
Epilepsy Unit Hospital Clinic Barcelona Spain
Epilepsy Unit Vall dHebron Hospital Barcelona Spain
Institute of Neurology University College London London UK
Medical Faculty of the University of Freiburg Germany
Neurocenter Bellevue Zurich Switzerland
Neurology Department Grenoble Alpes University Hospital Grenoble France
Neuromedica IPS Medellin Colombia
Northwestern Memorial Hospital Chicago IL USA
of Neurology with Institute of Translational Neurology University of Muenster Muenster Germany
Porto Alegre Epilepsy Surgery Program Hospital São Lucas da PUCRS Porto Alegre Brazil
Schoen Klinik Vogtareuth Vogtareuth Germany
School of Medicine Pontificia Universidade Católica do Rio Grande do Sul
St Bonifatius Hospital Lingen Germany
St Elizabeth Mercy Hospital Youngstown OH USA
The University of Texas Health Science Center at Houston McGovern Medical School Houston TX USA
University of Florida Department of Neurology Gainesville Florida USA
University of Miami Miller School of Medicine Miami Florida USA
University of South Florida and Tampa General Hospital Tampa FL USA
University of Sydney Westmead Clinical School Sydney Australia
References provided by Crossref.org
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- $a Rosenow, Felix $u Epilepsy Center Frankfurt Rhine-Main, Center of Neurology and Neurosurgery, University Hospital Frankfurt and Center for Personalized Translational Epilepsy Research (CePTER), Goethe-University Frankfurt, Germany. Electronic address: rosenow@med.uni-frankfurt.de
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- $a Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification" / $c F. Rosenow, N. Akamatsu, T. Bast, S. Bauer, C. Baumgartner, S. Benbadis, A. Bermeo-Ovalle, S. Beyenburg, A. Bleasel, A. Bozorgi, M. Brázdil, M. Carreño, N. Delanty, M. Devereaux, J. Duncan, G. Fernandez-Baca Vaca, S. Francione, N. García Losarcos, L. Ghanma, A. Gil-Nagel, H. Hamer, H. Holthausen, SJ. Omidi, P. Kahane, G. Kalamangalam, A. Kanner, S. Knake, S. Kovac, K. Krakow, G. Krämer, G. Kurlemann, N. Lacuey, P. Landazuri, SH. Lim, LV. Londoño, G. LoRusso, H. Luders, J. Mani, R. Matsumoto, J. Miller, S. Noachtar, R. O'Dwyer, A. Palmini, J. Park, PS. Reif, J. Remi, AC. Sakamoto, B. Schmitz, S. Schubert-Bast, S. Schuele, A. Shahid, B. Steinhoff, A. Strzelczyk, CA. Szabo, N. Tandon, K. Terada, M. Toledo, W. van Emde Boas, M. Walker, P. Widdess-Walsh
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