Salas-Puig J, Gil-Nagel A
Servio de Neurología, Hospital Central de Asturias Oviedo, Spain.
Neurologia. 2004 Mar;19(2):59-66.
In the decade of 1980 the International League Against Epilepsy (ILAE) developed a classification system of epileptic seizures and syndromes. These classifications were established progressively and are presently used in all the world. In the following years, video-EEG monitoring became widely available and provided direct information about seizure semiology and ictal EEG that had not been so well understood during the development of the ILAE classifications. This new information demonstrated certain limitations of the old classification of epileptic seizures. In addition, improvements in brain imaging techniques and research in genetics added further information on the pathophysiology of epilepsies and epileptic syndromes. In order to integrate these advances into the practical management of epilepsies, new classification proposals have been developed. This article reviews the clinical implications of these new classifications.
在20世纪80年代,国际抗癫痫联盟(ILAE)制定了癫痫发作和综合征的分类系统。这些分类是逐步建立起来的,目前在全世界范围内使用。在随后的几年里,视频脑电图监测得到广泛应用,并提供了有关发作症状学和发作期脑电图的直接信息,而这些信息在ILAE分类系统制定时并未得到很好的理解。这些新信息揭示了旧的癫痫发作分类存在一定局限性。此外,脑成像技术的进步和遗传学研究为癫痫及癫痫综合征的病理生理学增添了更多信息。为了将这些进展纳入癫痫的实际管理中,已制定了新的分类建议。本文回顾了这些新分类的临床意义。