Classification of the epilepsies: New concepts for discussion and debate—Special report of the ILAE Classification Task Force of the Commission for Classification and Terminology

Ingrid E. Scheffer, Jacqueline French, Edouard Hirsch, Satish Jain, Gary W. Mathern, Solomon L. Moshé, Emilio Perucca, Torbjorn Tomson, Samuel Wiebe, Yue Hua Zhang, Sameer M. Zuberi

Research output: Contribution to journalArticle

50 Scopus citations

Abstract

The ILAE Task Force on Classification presents a road map for the development of an updated, relevant classification of the epilepsies. Our objective is to explain the process to date and the plan moving forward as well as to invite further discussion about the newly proposed terms and concepts. Here, we present our response to feedback about the 2010 Organization of the Epilepsies and clarify the reintroduction of the word “classification” to map out a framework for epilepsy diagnosis. We introduce some new concepts and suggest four diagnostic levels: seizure type, epilepsy category, epilepsy syndrome, and epilepsy with (specific) etiology to denote specific levels of diagnosis. We expand the etiological categories to six, focusing on those with treatment implications. Finally, we discuss the changes in terminology originally suggested and modifications in response to comments from the epilepsy community. We welcome feedback and discussion from the global epilepsy community, particularly for the new suggested terms, so that we can cement a classification that both reflects current thinking and scientific understanding and provides a dynamic, evolving framework.

Original languageEnglish (US)
Pages (from-to)37-44
Number of pages8
JournalEpilepsia Open
Volume1
Issue number1-2
DOIs
StatePublished - Sep 1 2016

Keywords

  • Classification
  • Epilepsy syndromes
  • Etiology
  • Terminology

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Scheffer, I. E., French, J., Hirsch, E., Jain, S., Mathern, G. W., Moshé, S. L., Perucca, E., Tomson, T., Wiebe, S., Zhang, Y. H., & Zuberi, S. M. (2016). Classification of the epilepsies: New concepts for discussion and debate—Special report of the ILAE Classification Task Force of the Commission for Classification and Terminology. Epilepsia Open, 1(1-2), 37-44. https://doi.org/10.1002/epi4.5