A Proposed Diagnostic Scheme for People with Epileptic Seizures and with Epilepsy: Report of the ILAE Task Force on Classification and Terminology

作者：Jerome Engel · 发表于：Epilepsia · 年份：2001 · DOI：10.1046/j.1528-1157.2001.10401.x · 被引用次数：2257 · 研究领域：Epilepsy research and treatment、Genomics and Rare Diseases、Pharmacological Effects and Toxicity Studies

The International League Against Epilepsy (ILAE) made a major contribution when it established standardized classifications and terminology for epileptic seizures and syndromes. This provided a universal vocabulary that not only facilitated communication among clinicians, but also established a taxonomic foundation for performing quantitative clinical and basic research on epilepsy. Much, however, has changed since the adoption of the currently used Classification of Epileptic Seizures in 1981 (1) and the Classification of Epilepsies and Epileptic Syndromes in 1989 (2). Consequently, the Executive Committee of the ILAE, which took office in July 1997, agreed that review and revision of the current classification system would be a priority for this Executive term. A Task Force on Classification and Terminology was appointed, which divided itself into four working groups concerned with Descriptive Terminology for Ictal Events; Seizures; Syndromes and Diseases; and Impairment. During the course of several meetings and vigorous e-mail discussions, the Task Force agreed that it would not be possible to replace the current international classifications with similar revised and updated classifications that would be universally accepted and meet all the clinical and research needs such a formal organizational system would be expected to provide. Rather, the Task Force is proposing a diagnostic scheme that makes use of standardized terminology and concepts to describe individual patie...