Instruction manual for the ILAE 2017 operational classification of seizure types.

Details

Serval ID
serval:BIB_420FDBD3B368
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Instruction manual for the ILAE 2017 operational classification of seizure types.
Journal
Epilepsia
Author(s)
Fisher R.S., Cross J.H., D'Souza C., French J.A., Haut S.R., Higurashi N., Hirsch E., Jansen F.E., Lagae L., Moshé S.L., Peltola J., Roulet Perez E., Scheffer I.E., Schulze-Bonhage A., Somerville E., Sperling M., Yacubian E.M., Zuberi S.M.
ISSN
1528-1167 (Electronic)
ISSN-L
0013-9580
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
58
Number
4
Pages
531-542
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
This companion paper to the introduction of the International League Against Epilepsy (ILAE) 2017 classification of seizure types provides guidance on how to employ the classification. Illustration of the classification is enacted by tables, a glossary of relevant terms, mapping of old to new terms, suggested abbreviations, and examples. Basic and extended versions of the classification are available, depending on the desired degree of detail. Key signs and symptoms of seizures (semiology) are used as a basis for categories of seizures that are focal or generalized from onset or with unknown onset. Any focal seizure can further be optionally characterized by whether awareness is retained or impaired. Impaired awareness during any segment of the seizure renders it a focal impaired awareness seizure. Focal seizures are further optionally characterized by motor onset signs and symptoms: atonic, automatisms, clonic, epileptic spasms, or hyperkinetic, myoclonic, or tonic activity. Nonmotor-onset seizures can manifest as autonomic, behavior arrest, cognitive, emotional, or sensory dysfunction. The earliest prominent manifestation defines the seizure type, which might then progress to other signs and symptoms. Focal seizures can become bilateral tonic-clonic. Generalized seizures engage bilateral networks from onset. Generalized motor seizure characteristics comprise atonic, clonic, epileptic spasms, myoclonic, myoclonic-atonic, myoclonic-tonic-clonic, tonic, or tonic-clonic. Nonmotor (absence) seizures are typical or atypical, or seizures that present prominent myoclonic activity or eyelid myoclonia. Seizures of unknown onset may have features that can still be classified as motor, nonmotor, tonic-clonic, epileptic spasms, or behavior arrest. This "users' manual" for the ILAE 2017 seizure classification will assist the adoption of the new system.

Keywords
Awareness, Electroencephalography, Humans, International Agencies/standards, Seizures/classification, Seizures/physiopathology, Terminology as Topic, Classification, Epilepsy (taxonomy), Focal, Generalized, Seizures
Pubmed
Web of science
Open Access
Yes
Create date
21/03/2017 19:08
Last modification date
20/08/2019 13:43
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