Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F20%3A00073062" target="_blank" >RIV/00159816:_____/20:00073062 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/20:00115998

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S1059131120300674?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S1059131120300674?via%3Dihub</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.seizure.2020.02.018" target="_blank" >10.1016/j.seizure.2020.02.018</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?

Popis výsledku v původním jazyce

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 &quot;Four-dimensional epilepsy classification&quot; (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 &quot;Integrated Epilepsy Classification&quot;. This consists of five categories derived to different degrees from both of the classification systems: 1) a &quot;Headline&quot; summarizing localization and etiology for the less specialized users, 2) &quot;Seizure type(s)&quot;, 3) &quot;Epilepsy type&quot; (focal, generalized or unknown allowing to add the epilepsy syndrome if available), 4) &quot;Etiology&quot;, and 5) &quot;Comorbidities &amp; patient preferences&quot;.

Název v anglickém jazyce

Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?

Popis výsledku anglicky

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 &quot;Four-dimensional epilepsy classification&quot; (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 &quot;Integrated Epilepsy Classification&quot;. This consists of five categories derived to different degrees from both of the classification systems: 1) a &quot;Headline&quot; summarizing localization and etiology for the less specialized users, 2) &quot;Seizure type(s)&quot;, 3) &quot;Epilepsy type&quot; (focal, generalized or unknown allowing to add the epilepsy syndrome if available), 4) &quot;Etiology&quot;, and 5) &quot;Comorbidities &amp; patient preferences&quot;.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30210 - Clinical neurology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Seizure-European Journal of Epilepsy

ISSN

1059-1311

e-ISSN

—

Svazek periodika

78

Číslo periodika v rámci svazku

MAY 2020

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

7

Strana od-do

31-37

Kód UT WoS článku

000537574100005

EID výsledku v databázi Scopus

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