The Revised Definition and Classification of Epilepsy for Neurodiagnostic Technologists

被引：20
作者：
Fisher R.S. [1 ]
Bonner A.M. [2 ]
机构：
[1] Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA
[2] ASET–The Neurodiagnostic Society, Cary, NC
来源：
Neurodiagnostic Journal | 2018年 / 58卷 / 01期
关键词：
Classification; definition; epilepsy; seizure;
D O I：
10.1080/21646821.2018.1428455
中图分类号：
R96 [药理学]; R3 [基础医学]; R4 [临床医学];
学科分类号：
1001 ; 1002 ; 100602 ; 100706 ;
摘要：
The definition of who has epilepsy, classification of seizure types, and types of epilepsy have all recently been revised. The classical definition of epilepsy as a person having two or more unprovoked seizures more than 24 hours apart has been expanded also to include those with one seizure and a high likelihood (more than 60%) of having another. In the new definition, epilepsy is considered to be resolved when a person is seizure-free for 10 years, the terminal 5 being off seizure medicines, or when an age-dependent syndrome has been outgrown. The new seizure type classification revises the 1981 system but maintains the primary distinction of focal- versus generalized-onset seizures. Seizures also can be of unknown onset. Focal seizures may demonstrate retention or impairment of awareness, resulting in focal-aware or focal-impaired awareness seizures. Several new focal and generalized seizure types are introduced. Classification of the epilepsies is now by grouping of seizure types, etiologies, comorbidities, and epilepsy syndromes. The goal of the new terminology is greater clarity of communication and more accurate grouping of seizure types for research. Neurodiagnostic technologists can be of great help in observing clinical and electrographic features that will define the type of seizure. Copyright © ASET–The Neurodiagnostic Society.
引用
收藏
页码：1 / 10
页数：9
相关论文
共 12 条
  • [1] Berg A.T., Berkovic S.F., Brodie M.J., Buchhalter J., Cross J.H., van Emde Boas W., Engel J., French J., Glauser T.A., Mathern G.W., Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005–2009, Epilepsia, 51, 4, pp. 676-685, (2010)
  • [2] Berg A.T., Millichap J.J., The 2010 revised classification of seizures and epilepsy, Continuum (Minneap Minn), 19, 3 Epilepsy, pp. 571-597, (2013)
  • [3] Blumenfeld H., Impaired consciousness in epilepsy, Lancet Neurol, 11, 9, pp. 814-826, (2012)
  • [4] Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia, 22, 4, pp. 489-501, (1981)
  • [5] Fisher R.S., Acevedo C., Arzimanoglou A., Bogacz A., Cross J.H., Elger C.E., Engel J., Forsgren L., French J.A., Glynn M., ILAE official report: a practical clinical definition of epilepsy, Epilepsia, 55, 4, pp. 475-482, (2014)
  • [6] Fisher R.S., Cross J.H., D'Souza C., French J.A., Haut S.R., Higurashi N., Hirsch E., Jansen F.E., Lagae L., Moshe S.L., Instruction manual for the ILAE 2017 operational classification of seizure types, Epilepsia, 58, 4, pp. 531-542, (2017)
  • [7] Fisher R.S., Cross J.H., French J.A., Higurashi N., Hirsch E., Jansen F.E., Lagae L., Moshe S.L., Peltola J., Roulet Perez E., Operational classification of seizure types by the International League Against Epilepsy: position paper of the ILAE Commission for Classification and Terminology, Epilepsia, 58, 4, pp. 522-530, (2017)
  • [8] Fisher R.S., van Emde Boas W., Blume W., Elger C., Genton P., Lee P., Engel J., Epileptic seizures and epilepsy: definitions proposed by the International League against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE), Epilepsia, 46, 4, pp. 470-472, (2005)
  • [9] Hauser W.A., Rich S.S., Lee J.R., Annegers J.F., Anderson V.E., Risk of recurrent seizures after two unprovoked seizures, N Engl J Med, 338, 7, pp. 429-434, (1998)
  • [10] Luders H., Amina S., Bailey C., Baumgartner C., Benbadis S., Bermeo A., Carreno M., Devereaux M., Diehl B., Eccher M., Proposal: different types of alteration and loss of consciousness in epilepsy, Epilepsia, 55, 8, pp. 1140-1144, (2014)
12