Revised terminology and concepts for organization of seizures and epilepsies: Report of the ILAE Commission on Classification and Terminology, 2005–2009

Summary The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying seizures and forms of epilepsy. Generalized and focal are redefined for seizures as occurring in and rapidly engaging bilaterally di...

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Published in	Epilepsia (Copenhagen) Vol. 51; no. 4; pp. 676 - 685
Main Authors	Berg, Anne T., Berkovic, Samuel F., Brodie, Martin J., Buchhalter, Jeffrey, Cross, J. Helen, Van Emde Boas, Walter, Engel, Jerome, French, Jacqueline, Glauser, Tracy A., Mathern, Gary W., Moshé, Solomon L., Nordli, Douglas, Plouin, Perrine, Scheffer, Ingrid E.
Format	Journal Article
Language	English
Published	Oxford, UK Blackwell Publishing Ltd 01.04.2010 Wiley-Blackwell
Subjects	Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Classification Epilepsy Epilepsy - classification Epilepsy - diagnosis Epilepsy - etiology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans International Agencies Medical sciences Nervous system (semeiology, syndromes) Neurology Neuropharmacology Organization Pharmacology. Drug treatments Seizure Seizures - classification Seizures - diagnosis Seizures - etiology Syndrome Terminology as Topic Nervous system diseases Organization Terminology Convulsion Epilepsy Central nervous system disease Classification Seizure Neurological disorder Syndrome Cerebral disorder
Online Access	Get full text
ISSN	0013-9580 1528-1167 1528-1167
DOI	10.1111/j.1528-1167.2010.02522.x

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Abstract	Summary The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying seizures and forms of epilepsy. Generalized and focal are redefined for seizures as occurring in and rapidly engaging bilaterally distributed networks (generalized) and within networks limited to one hemisphere and either discretely localized or more widely distributed (focal). Classification of generalized seizures is simplified. No natural classification for focal seizures exists; focal seizures should be described according to their manifestations (e.g., dyscognitive, focal motor). The concepts of generalized and focal do not apply to electroclinical syndromes. Genetic, structural–metabolic, and unknown represent modified concepts to replace idiopathic, symptomatic, and cryptogenic. Not all epilepsies are recognized as electroclinical syndromes. Organization of forms of epilepsy is first by specificity: electroclinical syndromes, nonsyndromic epilepsies with structural–metabolic causes, and epilepsies of unknown cause. Further organization within these divisions can be accomplished in a flexible manner depending on purpose. Natural classes (e.g., specific underlying cause, age at onset, associated seizure type), or pragmatic groupings (e.g., epileptic encephalopathies, self‐limited electroclinical syndromes) may serve as the basis for organizing knowledge about recognized forms of epilepsy and facilitate identification of new forms.
AbstractList	Summary The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying seizures and forms of epilepsy. Generalized and focal are redefined for seizures as occurring in and rapidly engaging bilaterally distributed networks (generalized) and within networks limited to one hemisphere and either discretely localized or more widely distributed (focal). Classification of generalized seizures is simplified. No natural classification for focal seizures exists; focal seizures should be described according to their manifestations (e.g., dyscognitive, focal motor). The concepts of generalized and focal do not apply to electroclinical syndromes. Genetic, structural–metabolic, and unknown represent modified concepts to replace idiopathic, symptomatic, and cryptogenic. Not all epilepsies are recognized as electroclinical syndromes. Organization of forms of epilepsy is first by specificity: electroclinical syndromes, nonsyndromic epilepsies with structural–metabolic causes, and epilepsies of unknown cause. Further organization within these divisions can be accomplished in a flexible manner depending on purpose. Natural classes (e.g., specific underlying cause, age at onset, associated seizure type), or pragmatic groupings (e.g., epileptic encephalopathies, self‐limited electroclinical syndromes) may serve as the basis for organizing knowledge about recognized forms of epilepsy and facilitate identification of new forms. SummaryThe International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying seizures and forms of epilepsy. Generalized and focal are redefined for seizures as occurring in and rapidly engaging bilaterally distributed networks (generalized) and within networks limited to one hemisphere and either discretely localized or more widely distributed (focal). Classification of generalized seizures is simplified. No natural classification for focal seizures exists; focal seizures should be described according to their manifestations (e.g., dyscognitive, focal motor). The concepts of generalized and focal do not apply to electroclinical syndromes. Genetic, structural-metabolic, and unknown represent modified concepts to replace idiopathic, symptomatic, and cryptogenic. Not all epilepsies are recognized as electroclinical syndromes. Organization of forms of epilepsy is first by specificity: electroclinical syndromes, nonsyndromic epilepsies with structural-metabolic causes, and epilepsies of unknown cause. Further organization within these divisions can be accomplished in a flexible manner depending on purpose. Natural classes (e.g., specific underlying cause, age at onset, associated seizure type), or pragmatic groupings (e.g., epileptic encephalopathies, self-limited electroclinical syndromes) may serve as the basis for organizing knowledge about recognized forms of epilepsy and facilitate identification of new forms. The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying seizures and forms of epilepsy. Generalized and focal are redefined for seizures as occurring in and rapidly engaging bilaterally distributed networks (generalized) and within networks limited to one hemisphere and either discretely localized or more widely distributed (focal). Classification of generalized seizures is simplified. No natural classification for focal seizures exists; focal seizures should be described according to their manifestations (e.g., dyscognitive, focal motor). The concepts of generalized and focal do not apply to electroclinical syndromes. Genetic, structural-metabolic, and unknown represent modified concepts to replace idiopathic, symptomatic, and cryptogenic. Not all epilepsies are recognized as electroclinical syndromes. Organization of forms of epilepsy is first by specificity: electroclinical syndromes, nonsyndromic epilepsies with structural-metabolic causes, and epilepsies of unknown cause. Further organization within these divisions can be accomplished in a flexible manner depending on purpose. Natural classes (e.g., specific underlying cause, age at onset, associated seizure type), or pragmatic groupings (e.g., epileptic encephalopathies, self-limited electroclinical syndromes) may serve as the basis for organizing knowledge about recognized forms of epilepsy and facilitate identification of new forms. The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying seizures and forms of epilepsy. Generalized and focal are redefined for seizures as occurring in and rapidly engaging bilaterally distributed networks (generalized) and within networks limited to one hemisphere and either discretely localized or more widely distributed (focal). Classification of generalized seizures is simplified. No natural classification for focal seizures exists; focal seizures should be described according to their manifestations (e.g., dyscognitive, focal motor). The concepts of generalized and focal do not apply to electroclinical syndromes. Genetic, structural-metabolic, and unknown represent modified concepts to replace idiopathic, symptomatic, and cryptogenic. Not all epilepsies are recognized as electroclinical syndromes. Organization of forms of epilepsy is first by specificity: electroclinical syndromes, nonsyndromic epilepsies with structural-metabolic causes, and epilepsies of unknown cause. Further organization within these divisions can be accomplished in a flexible manner depending on purpose. Natural classes (e.g., specific underlying cause, age at onset, associated seizure type), or pragmatic groupings (e.g., epileptic encephalopathies, self-limited electroclinical syndromes) may serve as the basis for organizing knowledge about recognized forms of epilepsy and facilitate identification of new forms.The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying seizures and forms of epilepsy. Generalized and focal are redefined for seizures as occurring in and rapidly engaging bilaterally distributed networks (generalized) and within networks limited to one hemisphere and either discretely localized or more widely distributed (focal). Classification of generalized seizures is simplified. No natural classification for focal seizures exists; focal seizures should be described according to their manifestations (e.g., dyscognitive, focal motor). The concepts of generalized and focal do not apply to electroclinical syndromes. Genetic, structural-metabolic, and unknown represent modified concepts to replace idiopathic, symptomatic, and cryptogenic. Not all epilepsies are recognized as electroclinical syndromes. Organization of forms of epilepsy is first by specificity: electroclinical syndromes, nonsyndromic epilepsies with structural-metabolic causes, and epilepsies of unknown cause. Further organization within these divisions can be accomplished in a flexible manner depending on purpose. Natural classes (e.g., specific underlying cause, age at onset, associated seizure type), or pragmatic groupings (e.g., epileptic encephalopathies, self-limited electroclinical syndromes) may serve as the basis for organizing knowledge about recognized forms of epilepsy and facilitate identification of new forms.
Author	Scheffer, Ingrid E. Engel, Jerome Brodie, Martin J. Moshé, Solomon L. Nordli, Douglas Van Emde Boas, Walter Mathern, Gary W. Berkovic, Samuel F. French, Jacqueline Glauser, Tracy A. Berg, Anne T. Buchhalter, Jeffrey Cross, J. Helen Plouin, Perrine
Author_xml	– sequence: 1 givenname: Anne T. surname: Berg fullname: Berg, Anne T. – sequence: 2 givenname: Samuel F. surname: Berkovic fullname: Berkovic, Samuel F. – sequence: 3 givenname: Martin J. surname: Brodie fullname: Brodie, Martin J. – sequence: 4 givenname: Jeffrey surname: Buchhalter fullname: Buchhalter, Jeffrey – sequence: 5 givenname: J. Helen surname: Cross fullname: Cross, J. Helen – sequence: 6 givenname: Walter surname: Van Emde Boas fullname: Van Emde Boas, Walter – sequence: 7 givenname: Jerome surname: Engel fullname: Engel, Jerome – sequence: 8 givenname: Jacqueline surname: French fullname: French, Jacqueline – sequence: 9 givenname: Tracy A. surname: Glauser fullname: Glauser, Tracy A. – sequence: 10 givenname: Gary W. surname: Mathern fullname: Mathern, Gary W. – sequence: 11 givenname: Solomon L. surname: Moshé fullname: Moshé, Solomon L. – sequence: 12 givenname: Douglas surname: Nordli fullname: Nordli, Douglas – sequence: 13 givenname: Perrine surname: Plouin fullname: Plouin, Perrine – sequence: 14 givenname: Ingrid E. surname: Scheffer fullname: Scheffer, Ingrid E.
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22805915$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/20196795$$D View this record in MEDLINE/PubMed
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Keywords	Nervous system diseases Organization Terminology Convulsion Epilepsy Central nervous system disease Classification Seizure Neurological disorder Syndrome Cerebral disorder
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References_xml	– volume: 42 start-page: 1212 year: 2001 end-page: 1218 article-title: Glossary of ictal semiology publication-title: Epilepsia – volume: 69 start-page: 427 year: 2007 end-page: 433 article-title: Expansion of the first PolyA tract of ARX causes infantile spasms and status dystonicus publication-title: Neurology – volume: 60 start-page: 80 year: 2006 end-page: 87 article-title: Cognitive prognosis in chronic temporal lobe epilepsy publication-title: Ann Neurol – volume: 62 start-page: 1712 year: 2004 end-page: 1721 article-title: Cerebral hemispherectomy: hospital course, seizure, developmental, language, and motor outcomes publication-title: Neurology – volume: 131 start-page: 2287 year: 2008 end-page: 2294 article-title: Benign occipital epilepsies of childhood: clinical features and genetics publication-title: Brain – volume: 42 start-page: 796 year: 2001 end-page: 803 article-title: A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: report of the ILAE Task Force on Classification and Terminology publication-title: Epilepsia – start-page: 95 year: 1999 end-page: 102 – volume: 27 start-page: S14 issue: suppl 2 year: 1986 end-page: S26 article-title: Consciousness as a neurological concept in epileptology: a critical review publication-title: Epilepsia – volume: 4 start-page: 712 year: 2005 end-page: 717 article-title: The United Kingdom Infantile Spasms Study (UKISS) comparing hormone treatment with vigabatrin on developmental and epilepsy outcomes to age 14 months: a multicentre randomised trial publication-title: Lancet Neurol – volume: 44 start-page: 1592 year: 2003 end-page: 1595 article-title: Infantile spasms in remission may reemerge as intractable epileptic spasms publication-title: Epilepsia – volume: 40 start-page: 782 year: 2008 end-page: 788 article-title: De novo mutations in the gene encoding STXBP1 (MUNC18‐1) cause early infantile epileptic encephalopathy publication-title: Nat Genet – volume: 50 start-page: 579 year: 2009 end-page: 582 article-title: The NINDS epilepsy research benchmarks publication-title: Epilepsia – volume: 22 start-page: 489 year: 1981 end-page: 501 article-title: Proposal for revised clinical and electrographic classification of epileptic seizures publication-title: Epilepsia – volume: 71 start-page: 1973 year: 2008 end-page: 1980 article-title: Altered language processing in autosomal dominant partial epilepsy with auditory features publication-title: Neurology – volume: 73 start-page: 1155 year: 2009 end-page: 1158 article-title: Hughlings Jackson’s suggestion for the treatment of epilepsy publication-title: Neurology – volume: 70 start-page: 11 year: 2006 end-page: 19 article-title: Concepts in classification and their relevance to epilepsy publication-title: Epilepsy Res – volume: 23 start-page: 407 year: 2008 end-page: 414 article-title: Epileptic spasms: a variety of etiologies and associated syndromes publication-title: J Child Neurol – volume: 44 start-page: 890 year: 1998 end-page: 899 article-title: Familial partial epilepsy with variable foci: a new partial epilepsy syndrome with suggestion of linkage to chromosome 2 publication-title: Ann Neurol – volume: 50 start-page: 1645 year: 2009 end-page: 1649 article-title: Conceptual dichotomies in classifying epilepsies: partial versus generalized and idiopathic versus symptomatic (April 18–20, 2008, Monreale, Italy) publication-title: Epilepsia – volume: 46 start-page: 470 year: 2005 end-page: 472 article-title: Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE) publication-title: Epilepsia – volume: 72 start-page: 224 year: 2009 end-page: 231 article-title: Identification of a possible pathogenic link between congenital long QT syndrome and epilepsy publication-title: Neurology – volume: 43 start-page: 1650 year: 1993 end-page: 1655 article-title: Expanding the international classification of seizures to provide localization information publication-title: Neurology – volume: 46 start-page: 561 year: 2005 end-page: 567 article-title: Cognitive function in preschool children after epilepsy surgery: rationale for early intervention publication-title: Epilepsia – volume: 50 start-page: 1310 year: 2009 end-page: 1335 article-title: Assessment of surgical outcomes for mild type I and severe type II cortical dysplasia: a critical review and the UCLA experience publication-title: Epilepsia – volume: 118 start-page: 61 year: 1995 end-page: 73 article-title: Autosomal dominant nocturnal frontal lobe epilepsy: a distinctive clinical disorder publication-title: Brain – volume: 30 start-page: 389 year: 1989 end-page: 399 article-title: Proposal for revised classification of epilepsies and epileptic syndromes publication-title: Epilepsia – volume: 47 start-page: 550 year: 2006 end-page: 555 article-title: Analyzing the etiology of benign rolandic epilepsy: a multicenter twin collaboration publication-title: Epilepsia – volume: 131 start-page: 918 year: 2008 end-page: 927 article-title: Epilepsy and mental retardation limited to females: an under‐recognized disorder publication-title: Brain – volume: 30 start-page: 441 year: 2002 end-page: 445 article-title: Mutations in the human ortholog of Aristaless cause X‐linked mental retardation and epilepsy publication-title: Nat Genet – volume: 47 start-page: 1558 year: 2006 end-page: 1568 article-title: Report of the ILAE Classification Core Group publication-title: Epilepsia – volume: 64 start-page: 746 year: 2005 end-page: 750 article-title: Surgery for symptomatic infant‐onset epileptic encephalopathy with and without infantile spasms publication-title: Neurology – start-page: 95 volume-title: Genetics of focal epilepsies year: 1999 ident: e_1_2_15_23_1 – ident: e_1_2_15_8_1 doi: 10.1046/j.1528-1157.2001.10401.x – ident: e_1_2_15_11_1 doi: 10.1111/j.0013-9580.2005.03504.x – ident: e_1_2_15_22_1 doi: 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Snippet	Summary The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for... The International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for classifying... SummaryThe International League Against Epilepsy (ILAE) Commission on Classification and Terminology has revised concepts, terminology, and approaches for...
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SubjectTerms	Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Classification Epilepsy Epilepsy - classification Epilepsy - diagnosis Epilepsy - etiology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans International Agencies Medical sciences Nervous system (semeiology, syndromes) Neurology Neuropharmacology Organization Pharmacology. Drug treatments Seizure Seizures - classification Seizures - diagnosis Seizures - etiology Syndrome Terminology as Topic
Title	Revised terminology and concepts for organization of seizures and epilepsies: Report of the ILAE Commission on Classification and Terminology, 2005–2009
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