The role of EEG in the diagnosis and classification of the epilepsy syndromes: a tool for clinical practice by the ILAE Neurophysiology Task Force (Part 2)

Michalis Koutroumanidis, Alexis Arzimanoglou, Roberto Caraballo, Sushma Goyal, Anna Kaminska, Pramote Laoprasert, Hirokazu Oguni, Guido Rubboli, William Tatum, Pierre Thomas, Eugen Trinka, Luca Vignatelli, Solomon L. Moshé

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The concept of epilepsy syndromes, introduced in 1989, was defined as “clusters of signs and symptoms customarily occurring together”. Definition of epilepsy syndromes based on electro-clinical features facilitated clinical practice and, whenever possible, clinical research in homogeneous groups of patients with epilepsies. Progress in the fields of neuroimaging and genetics made it rapidly clear that, although crucial, the electro-clinical description of epilepsy syndromes was not sufficient to allow much needed development of targeted therapies and a better understanding of the underlying pathophysiological mechanisms of seizures. The 2017 ILAE position paper on Classification of the Epilepsies recognized that “as a critical tool for the practicing clinician, epilepsy classification must be relevant and dynamic to changes in thinking”. The concept of “epilepsy syndromes” evolved, incorporating issues related to aetiologies and comorbidities. A comprehensive update (and revision where necessary) of the EEG diagnostic criteria in the light of the 2017 revised terminology and concepts was deemed necessary. Part 2 covers the neonatal and paediatric syndromes in accordance with the age of onset. [Published with educational EEG plates at www.epilepticdisorders.com].

Original languageEnglish (US)
Pages (from-to)385-437
Number of pages53
JournalEpileptic Disorders
Volume19
Issue number4
DOIs
StatePublished - Dec 2017

Keywords

  • EEG Atlas
  • EEG Telemetry
  • EEG and epilepsy diagnosis
  • EEG protocols
  • epilepsy syndromes

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Koutroumanidis, M., Arzimanoglou, A., Caraballo, R., Goyal, S., Kaminska, A., Laoprasert, P., Oguni, H., Rubboli, G., Tatum, W., Thomas, P., Trinka, E., Vignatelli, L., & Moshé, S. L. (2017). The role of EEG in the diagnosis and classification of the epilepsy syndromes: a tool for clinical practice by the ILAE Neurophysiology Task Force (Part 2). Epileptic Disorders, 19(4), 385-437. https://doi.org/10.1684/epd.2017.0952