ILAE-Klassifikation der Epilepsien

Positionspapier der ILAE-Kommission für Klassifikation und Terminologie

Translated title of the contribution: ILAE classification of the epilepsies: position paper of the ILAE Commission for Classification and Terminology

Ingrid E. Scheffer, Samuel Berkovic, Guiseppe Capovilla, Mary B. Connolly, Jacqueline French, Laura Guilhoto, Edouard Hirsch, Satish Jain, Gary W. Mathern, Solomon L. Moshe, Douglas R. Nordli, Emilio Perucca, Torbjörn Tomson, Samuel Wiebe, Yue Hua Zhang, Sameer M. Zuberi

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

The International League Against Epilepsy (ILAE) classification of the epilepsies has been updated to reflect the gain in understanding of the epilepsies and their underlying mechanisms following the major scientific advances that have taken place since the last ratified classification in 1989. As a critical tool for the practicing clinician, epilepsy classification must be relevant and dynamic to changes in thinking, yet robust and translatable to all areas of the globe. Its primary purpose is for the clinical diagnosis of patients but it is also critical for epilepsy research, development of antiepileptic treatment and communication around the world. The new classification is based on a draft document submitted for public comments in 2013, which was revised to incorporate extensive feedback from the international epilepsy community over several rounds of consultation. It consists of three levels starting with seizure type, where it is assumed that the epileptic seizures of the patient are defined by the new 2017 ILAE seizure classification. After diagnosis of the seizure type, the next step is the diagnosis of the epilepsy type, which includes focal epilepsy, generalized epilepsy, combined generalized and focal epilepsy and also an unclassified epilepsy group. At the third level the disease is assigned to a specific epilepsy syndrome. The new classification incorporates etiology at each stage, emphasizing the need to consider etiology at each step of the diagnosis, as it often carries significant treatment implications. The various etiologies can be assigned to six subgroups, defined with respect to the potential therapeutic consequences. New terminology is introduced, such as developmental and epileptic encephalopathy. The term benign is replaced by the terms self-limiting and pharmacoresponsive, to be used where appropriate. It is hoped that this new framework will assist in improving epilepsy care and research in the twenty-first century.

Original languageGerman
Pages (from-to)296-306
Number of pages11
JournalZeitschrift fur Epileptologie
Volume31
Issue number4
DOIs
StatePublished - Nov 1 2018

Fingerprint

Terminology
Epilepsy
Generalized Epilepsy
Seizures
Partial Epilepsy
Brain Diseases
Research
Anticonvulsants
Therapeutics
Referral and Consultation
Communication

Keywords

  • Classification
  • Epilepsy
  • Epilepsy syndromes
  • Etiology
  • Terminology

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Scheffer, I. E., Berkovic, S., Capovilla, G., Connolly, M. B., French, J., Guilhoto, L., ... Zuberi, S. M. (2018). ILAE-Klassifikation der Epilepsien: Positionspapier der ILAE-Kommission für Klassifikation und Terminologie. Zeitschrift fur Epileptologie, 31(4), 296-306. https://doi.org/10.1007/s10309-018-0218-6

ILAE-Klassifikation der Epilepsien : Positionspapier der ILAE-Kommission für Klassifikation und Terminologie. / Scheffer, Ingrid E.; Berkovic, Samuel; Capovilla, Guiseppe; Connolly, Mary B.; French, Jacqueline; Guilhoto, Laura; Hirsch, Edouard; Jain, Satish; Mathern, Gary W.; Moshe, Solomon L.; Nordli, Douglas R.; Perucca, Emilio; Tomson, Torbjörn; Wiebe, Samuel; Zhang, Yue Hua; Zuberi, Sameer M.

In: Zeitschrift fur Epileptologie, Vol. 31, No. 4, 01.11.2018, p. 296-306.

Research output: Contribution to journalReview article

Scheffer, IE, Berkovic, S, Capovilla, G, Connolly, MB, French, J, Guilhoto, L, Hirsch, E, Jain, S, Mathern, GW, Moshe, SL, Nordli, DR, Perucca, E, Tomson, T, Wiebe, S, Zhang, YH & Zuberi, SM 2018, 'ILAE-Klassifikation der Epilepsien: Positionspapier der ILAE-Kommission für Klassifikation und Terminologie', Zeitschrift fur Epileptologie, vol. 31, no. 4, pp. 296-306. https://doi.org/10.1007/s10309-018-0218-6
Scheffer, Ingrid E. ; Berkovic, Samuel ; Capovilla, Guiseppe ; Connolly, Mary B. ; French, Jacqueline ; Guilhoto, Laura ; Hirsch, Edouard ; Jain, Satish ; Mathern, Gary W. ; Moshe, Solomon L. ; Nordli, Douglas R. ; Perucca, Emilio ; Tomson, Torbjörn ; Wiebe, Samuel ; Zhang, Yue Hua ; Zuberi, Sameer M. / ILAE-Klassifikation der Epilepsien : Positionspapier der ILAE-Kommission für Klassifikation und Terminologie. In: Zeitschrift fur Epileptologie. 2018 ; Vol. 31, No. 4. pp. 296-306.
@article{b4e3f5317dca4db287378ebf83b1a207,
title = "ILAE-Klassifikation der Epilepsien: Positionspapier der ILAE-Kommission f{\"u}r Klassifikation und Terminologie",
abstract = "The International League Against Epilepsy (ILAE) classification of the epilepsies has been updated to reflect the gain in understanding of the epilepsies and their underlying mechanisms following the major scientific advances that have taken place since the last ratified classification in 1989. As a critical tool for the practicing clinician, epilepsy classification must be relevant and dynamic to changes in thinking, yet robust and translatable to all areas of the globe. Its primary purpose is for the clinical diagnosis of patients but it is also critical for epilepsy research, development of antiepileptic treatment and communication around the world. The new classification is based on a draft document submitted for public comments in 2013, which was revised to incorporate extensive feedback from the international epilepsy community over several rounds of consultation. It consists of three levels starting with seizure type, where it is assumed that the epileptic seizures of the patient are defined by the new 2017 ILAE seizure classification. After diagnosis of the seizure type, the next step is the diagnosis of the epilepsy type, which includes focal epilepsy, generalized epilepsy, combined generalized and focal epilepsy and also an unclassified epilepsy group. At the third level the disease is assigned to a specific epilepsy syndrome. The new classification incorporates etiology at each stage, emphasizing the need to consider etiology at each step of the diagnosis, as it often carries significant treatment implications. The various etiologies can be assigned to six subgroups, defined with respect to the potential therapeutic consequences. New terminology is introduced, such as developmental and epileptic encephalopathy. The term benign is replaced by the terms self-limiting and pharmacoresponsive, to be used where appropriate. It is hoped that this new framework will assist in improving epilepsy care and research in the twenty-first century.",
keywords = "Classification, Epilepsy, Epilepsy syndromes, Etiology, Terminology",
author = "Scheffer, {Ingrid E.} and Samuel Berkovic and Guiseppe Capovilla and Connolly, {Mary B.} and Jacqueline French and Laura Guilhoto and Edouard Hirsch and Satish Jain and Mathern, {Gary W.} and Moshe, {Solomon L.} and Nordli, {Douglas R.} and Emilio Perucca and Torbj{\"o}rn Tomson and Samuel Wiebe and Zhang, {Yue Hua} and Zuberi, {Sameer M.}",
year = "2018",
month = "11",
day = "1",
doi = "10.1007/s10309-018-0218-6",
language = "German",
volume = "31",
pages = "296--306",
journal = "Zeitschrift fur Epileptologie",
issn = "1617-6782",
publisher = "D. Steinkopff-Verlag",
number = "4",

}

TY - JOUR

T1 - ILAE-Klassifikation der Epilepsien

T2 - Positionspapier der ILAE-Kommission für Klassifikation und Terminologie

AU - Scheffer, Ingrid E.

AU - Berkovic, Samuel

AU - Capovilla, Guiseppe

AU - Connolly, Mary B.

AU - French, Jacqueline

AU - Guilhoto, Laura

AU - Hirsch, Edouard

AU - Jain, Satish

AU - Mathern, Gary W.

AU - Moshe, Solomon L.

AU - Nordli, Douglas R.

AU - Perucca, Emilio

AU - Tomson, Torbjörn

AU - Wiebe, Samuel

AU - Zhang, Yue Hua

AU - Zuberi, Sameer M.

PY - 2018/11/1

Y1 - 2018/11/1

N2 - The International League Against Epilepsy (ILAE) classification of the epilepsies has been updated to reflect the gain in understanding of the epilepsies and their underlying mechanisms following the major scientific advances that have taken place since the last ratified classification in 1989. As a critical tool for the practicing clinician, epilepsy classification must be relevant and dynamic to changes in thinking, yet robust and translatable to all areas of the globe. Its primary purpose is for the clinical diagnosis of patients but it is also critical for epilepsy research, development of antiepileptic treatment and communication around the world. The new classification is based on a draft document submitted for public comments in 2013, which was revised to incorporate extensive feedback from the international epilepsy community over several rounds of consultation. It consists of three levels starting with seizure type, where it is assumed that the epileptic seizures of the patient are defined by the new 2017 ILAE seizure classification. After diagnosis of the seizure type, the next step is the diagnosis of the epilepsy type, which includes focal epilepsy, generalized epilepsy, combined generalized and focal epilepsy and also an unclassified epilepsy group. At the third level the disease is assigned to a specific epilepsy syndrome. The new classification incorporates etiology at each stage, emphasizing the need to consider etiology at each step of the diagnosis, as it often carries significant treatment implications. The various etiologies can be assigned to six subgroups, defined with respect to the potential therapeutic consequences. New terminology is introduced, such as developmental and epileptic encephalopathy. The term benign is replaced by the terms self-limiting and pharmacoresponsive, to be used where appropriate. It is hoped that this new framework will assist in improving epilepsy care and research in the twenty-first century.

AB - The International League Against Epilepsy (ILAE) classification of the epilepsies has been updated to reflect the gain in understanding of the epilepsies and their underlying mechanisms following the major scientific advances that have taken place since the last ratified classification in 1989. As a critical tool for the practicing clinician, epilepsy classification must be relevant and dynamic to changes in thinking, yet robust and translatable to all areas of the globe. Its primary purpose is for the clinical diagnosis of patients but it is also critical for epilepsy research, development of antiepileptic treatment and communication around the world. The new classification is based on a draft document submitted for public comments in 2013, which was revised to incorporate extensive feedback from the international epilepsy community over several rounds of consultation. It consists of three levels starting with seizure type, where it is assumed that the epileptic seizures of the patient are defined by the new 2017 ILAE seizure classification. After diagnosis of the seizure type, the next step is the diagnosis of the epilepsy type, which includes focal epilepsy, generalized epilepsy, combined generalized and focal epilepsy and also an unclassified epilepsy group. At the third level the disease is assigned to a specific epilepsy syndrome. The new classification incorporates etiology at each stage, emphasizing the need to consider etiology at each step of the diagnosis, as it often carries significant treatment implications. The various etiologies can be assigned to six subgroups, defined with respect to the potential therapeutic consequences. New terminology is introduced, such as developmental and epileptic encephalopathy. The term benign is replaced by the terms self-limiting and pharmacoresponsive, to be used where appropriate. It is hoped that this new framework will assist in improving epilepsy care and research in the twenty-first century.

KW - Classification

KW - Epilepsy

KW - Epilepsy syndromes

KW - Etiology

KW - Terminology

UR - http://www.scopus.com/inward/record.url?scp=85056318033&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056318033&partnerID=8YFLogxK

U2 - 10.1007/s10309-018-0218-6

DO - 10.1007/s10309-018-0218-6

M3 - Review article

VL - 31

SP - 296

EP - 306

JO - Zeitschrift fur Epileptologie

JF - Zeitschrift fur Epileptologie

SN - 1617-6782

IS - 4

ER -