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In , the ILAE proposed a new classification. Aim: We evaluated the potential contribution of the classification of epilepsies compared to the previous one. We also analyzed the new version according to the principles of a good classification. Development: The classification of epilepsies shows radical changes, both in terminology and taxonomic criteria, when compared to the classification.

The new version lacks many of the desirable principles of a good classification system. The main criterion selected to classify the epilepsies a mixture of syndromic specificity and etiology divides the epilepsies in four groups which are not mutually exclusive. For instance, benign rolandic epilepsy should be included both under 'electroclinical syndromes' and 'epilepsies of unknown cause'. The division of clinical entities in 'electroclinical syndromes', 'constellations', and 'ill-defined syndromes' could have avoided such problem, although it appears to be clinically less relevant than classification criteria localization and etiology.

The ILAE has proposed an example of 'organization' of the epilepsies, instead of a true classification, and has encouraged the creation of different classifications for specific purposes. Should these ones were not linked to a previously established main classification they would represent a risk. Several international authorities have already disapproved the new proposals of the ILAE. Conclusions: The attempts to replace the ILAE classification of epilepsies have been far from successful.

An international debate on the subject might help to develop a new classification supported world-wide. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search.

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No abstract available. ILAE classification of epilepsy syndromes. Engel J Jr. Epilepsy Res. Epub Jul 5. PMID: Casas-Fernandez C. Okuma Y. Rinsho Shinkeigaku. PMID: Review. The new ILAE report on terminology and concepts for the organization of epilepsies: critical review and contribution. Panayiotopoulos CP. Epub Jan Show more similar articles See all similar articles. French JA. Epilepsy Curr. Publication types English Abstract Actions. Review Actions. MeSH terms Electroencephalography Actions.

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