Classification of paroxysmal events and the four-dimensional epilepsy classification system

被引：37

作者：

Luders, Hans ^{[1
]}

Vaca, Guadalupe Fernandez-Baca ^{[2
]}

Akamatsu, Naoki ^{[3
]}

Amina, Shahram ^{[4
]}

Arzimanoglou, Alexis ^{[5
,6
]}

Baumgartner, Christoph ^{[7
,8
]}

Benbadis, Selim R. ^{[9
]}

Bleasel, Andrew ^{[10
]}

Bermeo-Ovalle, Adriana ^{[11
]}

Bozorgi, Alireza ^{[12
]}

Carreno, Mar ^{[6
,13
]}

Devereaux, Michael ^{[1
]}

Francione, Stefano ^{[14
]}

Losarcos, Naiara Garcia ^{[15
]}

Hamer, Hajo ^{[16
]}

Holthausen, Hans ^{[17
]}

Jamal-Omidi, Shirin ^{[18
]}

Kalamangalam, Giri ^{[19
]}

Kanner, Andres M. ^{[20
]}

Knake, Susanne ^{[21
]}

Lacuey, Nuria ^{[22
]}

Lhatoo, Samden ^{[23
]}

Lim, Shih Hui ^{[24
,25
]}

Londono, Luisa V. ^{[26
]}

Mani, Jayanti ^{[27
]}

Matsumoto, Riki ^{[28
]}

Miller, Jonathan P. ^{[29
]}

Noachtar, Soheyl ^{[30
]}

Palmini, Andre ^{[31
]}

Park, Jun ^{[32
]}

Rosenow, Felix ^{[33
]}

Shahid, Asim ^{[34
]}

Schuele, Stephan ^{[35
]}

Steinhoff, Bernhard J. ^{[36
]}

Szabo, Charles Akos ^{[37
]}

Tandon, Nitin ^{[38
]}

Terada, Kiyohito ^{[39
]}

Boas, Walter van Emde ^{[40
]}

Widdess-Walsh, Peter ^{[41
]}

Kahane, Philippe ^{[42
,43
]}

机构：

[1] Case Med Ctr, Neurol, 11100 Euclid Ave Cleveland, Cleveland, OH 44106 USA

[2] Univ Hosp Ringgold, Standard Inst, Neurol, Cleveland, OH USA

[3] Int Univ Hlth & Welf, Sch Med, Dept Neurol, Narita, Japan

[4] Kaiser Permanente Northern Calif, Neurosci Dept, Redwood City, CA USA

[5] Univ Hosp Lyon, Dept Clin Epileptol Sleep Disorders & Funct Pedia, Lyon, France

[6] ERN EpiCARE, European Reference Network Rare & Complex Epileps, Lyon, France

[7] Sigmund Freud Privat Univ Wien, Paris Ringgold Standard Inst, Dept Epileptol & Clin Neurophysiol, Vienna, Austria

[8] Gen Hosp Hietzing, Neurol Ctr Rosenhuegel, Dept Neurol, Vienna, Austria

[9] Univ S Florida, Dept Neurol, Tampa, FL USA

[10] Westmead Hosp Neurol, Wentworthville, NSW, Australia

[11] Rush Univ, Med Ctr, Dept Neurol Sci, Sect Epilepsy, Chicago, IL 60612 USA

[12] St Elizabeth Mercy Hosp, Neurol, Youngstown, OH USA

[13] Hosp Clin Barcelona, Epilepsy Unit, Dept Neurol, Barcelona, Spain

[14] Claudio Munari Epilepsy Surg Ctr, Dept Neurosci, Milan, Italy

[15] Univ Hosp, Cleveland Med Ctr, Neurol, Cleveland, OH USA

[16] Epilepsy Ctr, Neurol, Erlangen, Germany

[17] Schoen Klin Vogtareuth, Neuropediat Clin & Clin Neurorehabil, Epilepsy Ctr Children & Adolescents, Vogtareuth, Germany

[18] Univ Hosp, Cleveland Med Ctr, Neurol, Epilepsy Ctr, Cleveland, OH USA

[19] Univ Florida, Dept Neurol, Gainesville, FL USA

[20] Univ Miami, Miller Sch Med, Dept Neurol, Miami, FL 33136 USA

[21] Univ Klinikum Giessen & Marburg, Standort Marburg Ringgold Standard Inst, Epilepsy Ctr, Neurol, Marburg, Hessen, Germany

[22] Univ Hosp, Neurol Epilepsy, Cleveland Hts, OH USA

[23] UT Hlth Mem Hermann Hosp, Texas Med Ctr, Texas Epilepsy Neurotechnol & Neuroinformat Inst, Houston, TX USA

[24] Singapore Gen Hosp Acad, Natl Neurosci Inst Ringgold Standard Inst, Singapore, Singapore

[25] Duke NUS, Sch Med, Ringgold Standard Inst, Acad Dev Dept,Off Acad & Clin Dev, Singapore, Singapore

[26] Neuromed IPS, Epilepsy, Medellin, Colombia

[27] Kokilaben Dhirubhai Ambani Hosp, Dept Brain & Nervous Syst, Mumbai, Maharashtra, India

[28] Kobe Univ, Grad Sch Med, Div Neurol, Kobe, Hyogo, Japan

[29] Case Western Reserve Univ, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA

[30] Ludwig Maximilians Univ Munchen, Dept Neurol, Epilepsy Ctr, Munich, Germany

[31] Pontificia Univ Catolica Rio Grande PUCRS, Sch Med, Neurol Serv, Porto Alegre Epilepsy Surg Program, Porto Alegre, RS, Brazil

[32] Case Med Ctr, Pediat, Cleveland, OH USA

[33] Univ Frankfurt Main, Hosp Goethe, Epilepsy Ctr Frankfurt Rhine Main, Frankfurt, Germany

[34] Case Western Univ, Sch Med, Rainbow Babies & Childrens Hosp, Cleveland, OH USA

[35] Northwestern Univ, Feinberg Sch Med, Ringgold Standard Inst, Chicago, IL 60611 USA

[36] Kork Epilepsy Ctr, Kehl, Germany

[37] UTHSCSA, Neurol, San Antonio & S Texas Comprehens Epilepsy Ctr, San Antonio, TX USA

[38] Univ Texas Hlth Sci Ctr Houston, Neurosurg, Houston, TX 77030 USA

[39] Natl Hosp Org Shizuoka Inst Epilepsy & Neurol Dis, Dept Epileptol, Urushiyama, Japan

[40] Stichting Epilepsie Instellingen Nederland Ringgo, Neurol, Hoofddorp, Noord Holland, Netherlands

[41] Beaumont Hosp, Dept Neurol, Dublin, Ireland

[42] Grenoble Alpes Hosp & Univ, Neurol Dept, Grenoble, France

[43] INSERM, GIN, U1216, Grenoble, France

来源：

EPILEPTIC DISORDERS | 2019年 / 21卷 / 01期

基金：

日本学术振兴会;

关键词：

classification; semiology; epileptogenic zone; etiology; ILAE COMMISSION; OPERATIONAL CLASSIFICATION; POSITION PAPER;

D O I：

10.1684/epd.2019.1033

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This educational review describes the classification of paroxysmal events and a four-dimensional epilepsy classification system. Paroxysmal events are classified as epileptic and non-epileptic paroxysmal events. Non-epileptic events are, in turn, classified as psychogenic and organic paroxysmal events. The following four dimensions are used to classify epileptic paroxysmal events: ictal semiology, the epileptogenic zone, etiology, and comorbidities. Efforts are made to keep these four dimensions as independent as possible. The review also includes 12 educational vignettes and three more detailed case reports classified using the 2017 classification of the ILAE and the four-dimensional epilepsy classification. In addition, a case is described which is classified using the four-dimensional epilepsy classification with different degrees of precision by an emergency department physician, a neurologist, and an epileptologist. [Published with video sequences on ]

引用

页码：1 / 29

页数：29

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