Critique of the 2017 epileptic seizure and epilepsy classifications

Hans Lüders; Naoki Akamatsu; Shahram Amina; Christoph Baumgartner; Selim Benbadis; Adriana Bermeo-Ovalle; Andrew Bleasel; Alireza Bozorgi; Mar Carreño; Michael Devereaux; Guadalupe Fernandez-Baca Vaca; Stefano Francione; Naiara García Losarcos; Hajo Hamer; Hans Holthausen; Shirin Jamal Omidi; Giridhar Kalamangalam; Andrés Kanner; Susanne Knake; Nuria Lacuey; Samden Lhatoo; Shih Hui Lim; Jayanthi Mani; Riki Matsumoto; Jonathan Miller; Soheyl Noachtar; André Palmini; Jun Park; Felix Rosenow; Asim Shahid; Stephan Schuele; Bernhard Steinhoff; Charles Ákos Szabo; Nitin Tandon; Kiyohito Terada; Walter Van Emde Boas; Peter Widdess-Walsh; Philippe Kahane

doi:10.1111/epi.14699

Critique of the 2017 epileptic seizure and epilepsy classifications

Hans Lüders, Naoki Akamatsu, Shahram Amina, Christoph Baumgartner, Selim Benbadis, Adriana Bermeo-Ovalle, Andrew Bleasel, Alireza Bozorgi, Mar Carreño, Michael Devereaux, Guadalupe Fernandez-Baca Vaca, Stefano Francione, Naiara García Losarcos, Hajo Hamer, Hans Holthausen, Shirin Jamal Omidi, Giridhar Kalamangalam, Andrés Kanner, Susanne Knake, Nuria LacueySamden Lhatoo, Shih Hui Lim, Jayanthi Mani, Riki Matsumoto, Jonathan Miller, Soheyl Noachtar, André Palmini, Jun Park, Felix Rosenow, Asim Shahid, Stephan Schuele, Bernhard Steinhoff, Charles Ákos Szabo, Nitin Tandon, Kiyohito Terada, Walter Van Emde Boas, Peter Widdess-Walsh, Philippe Kahane

Department of Neurology

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

This article critiques the International League Against Epilepsy (ILAE) 2015-2017 classifications of epilepsy, epileptic seizures, and status epilepticus. It points out the following shortcomings of the ILAE classifications: (1) they mix semiological terms with epileptogenic zone terminology; (2) simple and widely accepted terminology has been replaced by complex terminology containing less information; (3) seizure evolution cannot be described in any detail; (4) in the four-level epilepsy classification, level two (epilepsy category) overlaps almost 100% with diagnostic level one (seizure type); and (5) the design of different classifications with distinct frameworks for newborns, adults, and patients in status epilepticus is confusing. The authors stress the importance of validating the new ILAE classifications and feel that the decision of Epilepsia to accept only manuscripts that use the ILAE classifications is premature and regrettable.

Original language	English (US)
Pages (from-to)	1032-1039
Number of pages	8
Journal	Epilepsia
Volume	60
Issue number	6
DOIs	https://doi.org/10.1111/epi.14699
State	Published - Jun 2019

Keywords

classification
epileptogenic zone
etiology
semiology

ASJC Scopus subject areas

Neurology
Clinical Neurology

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10.1111/epi.14699

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Lüders, H., Akamatsu, N., Amina, S., Baumgartner, C., Benbadis, S., Bermeo-Ovalle, A., Bleasel, A., Bozorgi, A., Carreño, M., Devereaux, M., Fernandez-Baca Vaca, G., Francione, S., García Losarcos, N., Hamer, H., Holthausen, H., Jamal Omidi, S., Kalamangalam, G., Kanner, A., Knake, S., ... Kahane, P. (2019). Critique of the 2017 epileptic seizure and epilepsy classifications. Epilepsia, 60(6), 1032-1039. https://doi.org/10.1111/epi.14699

Lüders, H, Akamatsu, N, Amina, S, Baumgartner, C, Benbadis, S, Bermeo-Ovalle, A, Bleasel, A, Bozorgi, A, Carreño, M, Devereaux, M, Fernandez-Baca Vaca, G, Francione, S, García Losarcos, N, Hamer, H, Holthausen, H, Jamal Omidi, S, Kalamangalam, G, Kanner, A, Knake, S, Lacuey, N, Lhatoo, S, Lim, SH, Mani, J, Matsumoto, R, Miller, J, Noachtar, S, Palmini, A, Park, J, Rosenow, F, Shahid, A, Schuele, S, Steinhoff, B, Szabo, CÁ, Tandon, N, Terada, K, Van Emde Boas, W, Widdess-Walsh, P & Kahane, P 2019, 'Critique of the 2017 epileptic seizure and epilepsy classifications', Epilepsia, vol. 60, no. 6, pp. 1032-1039. https://doi.org/10.1111/epi.14699

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abstract = "This article critiques the International League Against Epilepsy (ILAE) 2015-2017 classifications of epilepsy, epileptic seizures, and status epilepticus. It points out the following shortcomings of the ILAE classifications: (1) they mix semiological terms with epileptogenic zone terminology; (2) simple and widely accepted terminology has been replaced by complex terminology containing less information; (3) seizure evolution cannot be described in any detail; (4) in the four-level epilepsy classification, level two (epilepsy category) overlaps almost 100% with diagnostic level one (seizure type); and (5) the design of different classifications with distinct frameworks for newborns, adults, and patients in status epilepticus is confusing. The authors stress the importance of validating the new ILAE classifications and feel that the decision of Epilepsia to accept only manuscripts that use the ILAE classifications is premature and regrettable.",

keywords = "classification, epileptogenic zone, etiology, semiology",

author = "Hans L{\"u}ders and Naoki Akamatsu and Shahram Amina and Christoph Baumgartner and Selim Benbadis and Adriana Bermeo-Ovalle and Andrew Bleasel and Alireza Bozorgi and Mar Carre{\~n}o and Michael Devereaux and {Fernandez-Baca Vaca}, Guadalupe and Stefano Francione and {Garc{\'i}a Losarcos}, Naiara and Hajo Hamer and Hans Holthausen and {Jamal Omidi}, Shirin and Giridhar Kalamangalam and Andr{\'e}s Kanner and Susanne Knake and Nuria Lacuey and Samden Lhatoo and Lim, {Shih Hui} and Jayanthi Mani and Riki Matsumoto and Jonathan Miller and Soheyl Noachtar and Andr{\'e} Palmini and Jun Park and Felix Rosenow and Asim Shahid and Stephan Schuele and Bernhard Steinhoff and Szabo, {Charles {\'A}kos} and Nitin Tandon and Kiyohito Terada and {Van Emde Boas}, Walter and Peter Widdess-Walsh and Philippe Kahane",

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year = "2019",

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AU - Benbadis, Selim

AU - Bermeo-Ovalle, Adriana

AU - Bleasel, Andrew

AU - Bozorgi, Alireza

AU - Carreño, Mar

AU - Devereaux, Michael

AU - Fernandez-Baca Vaca, Guadalupe

AU - Francione, Stefano

AU - García Losarcos, Naiara

AU - Hamer, Hajo

AU - Holthausen, Hans

AU - Jamal Omidi, Shirin

AU - Kalamangalam, Giridhar

AU - Kanner, Andrés

AU - Knake, Susanne

AU - Lacuey, Nuria

AU - Lhatoo, Samden

AU - Lim, Shih Hui

AU - Mani, Jayanthi

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AU - Miller, Jonathan

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AU - Palmini, André

AU - Park, Jun

AU - Rosenow, Felix

AU - Shahid, Asim

AU - Schuele, Stephan

AU - Steinhoff, Bernhard

AU - Szabo, Charles Ákos

AU - Tandon, Nitin

AU - Terada, Kiyohito

AU - Van Emde Boas, Walter

AU - Widdess-Walsh, Peter

AU - Kahane, Philippe

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Critique of the 2017 epileptic seizure and epilepsy classifications

Abstract

Keywords

ASJC Scopus subject areas

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