Mariani Christopher L
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.
Top Companion Anim Med. 2013 May;28(2):34-41. doi: 10.1053/j.tcam.2013.06.008.
The classification of epileptic seizures and epilepsy is a controversial and dynamic topic that has undergone many iterations in human medicine. The International League against Epilepsy is a multinational organization that has formed a number of task forces and subcommittees to study this issue, and has ratified several reports outlining recommended terminology and classification schemes for human patients. Veterinary publications on this issue have generally adapted these schemes to fit small animal patients, but a formally endorsed system to classify seizures and epilepsy has never been developed for veterinary patients. This review outlines the classification systems that have been published for human patients and summarizes previous efforts by veterinary authors to utilize these methods. Finally, a set of definitions and terminology for use in veterinary patients is proposed, which includes a glossary of descriptive terminology for ictal semiology and a diagnostic scheme for classification of individual patients. This document is intended as a starting point of discussion, which will hopefully eventually result in a formally ratified document that will be useful for communication between health professionals, the design of clinical trials and for guiding treatment decisions and prognostication for veterinary patients with seizures.
癫痫发作和癫痫的分类是一个存在争议且不断发展的话题，在人类医学中已经历了多次修订。国际抗癫痫联盟是一个跨国组织，它组建了多个特别工作组和小组委员会来研究这个问题，并批准了几份报告，概述了针对人类患者的推荐术语和分类方案。关于这个问题的兽医出版物通常采用这些方案以适用于小动物患者，但从未为兽医患者制定过正式认可的癫痫发作和癫痫分类系统。本综述概述了已发表的针对人类患者的分类系统，并总结了兽医作者此前利用这些方法所做的努力。最后，提出了一套用于兽医患者的定义和术语，其中包括发作期症状学的描述性术语词汇表以及个体患者分类的诊断方案。本文档旨在作为讨论的起点，希望最终能形成一份正式批准的文件，这将有助于健康专业人员之间的交流、临床试验的设计以及指导患有癫痫发作的兽医患者的治疗决策和预后判断。
