Department of Psychiatry, University of California, San Diego, San Diego, CA, USA.
Executive Director of the International Neuropsychological Society.
Epilepsia Open. 2021 Jun;6(2):266-275. doi: 10.1002/epi4.12478. Epub 2021 Mar 2.
This paper addresses the absence of an international diagnostic taxonomy for cognitive disorders in patients with epilepsy. Initiated through the 2020 Memorandum of Understanding between the International League Against Epilepsy and the International Neuropsychological Society, neuropsychological representatives from both organizations met to address the problem and consequences of the absence of an international diagnostic taxonomy for cognitive disorders in epilepsy, overview potential solutions, and propose specific solutions going forward. The group concluded that a classification of cognitive disorders in epilepsy, including an overall taxonomy and associated operational criteria, was clearly lacking and sorely needed. This paper reviews the advantages and shortcomings of four existing cognitive diagnostic approaches, including taxonomies derived from the US National Neuropsychology Network, DSM-V Neurocognitive Disorders, the Mild Cognitive Impairment classification from the aging/preclinical dementia literature, and the Research Domain Criteria Initiative. We propose a framework to develop a consensus-based classification system for cognitive disorders in epilepsy that will be international in scope and be applicable for clinical practice and research globally and introduce the International Classification of Cognitive Disorders in Epilepsy (IC-CODE) project.
本文针对癫痫患者认知障碍缺乏国际诊断分类学这一问题进行了探讨。该问题由国际抗癫痫联盟与国际神经心理学会于 2020 年签署的谅解备忘录提出，备忘录启动后，两个组织的神经心理学代表召开会议，共同探讨了癫痫认知障碍缺乏国际诊断分类学的问题及其产生的后果，并对潜在的解决方案进行了概述，同时提出了具体的推进建议。会议得出的结论是，明确需要制定一个包括总体分类和相关操作标准的癫痫认知障碍分类系统。本文回顾了现有四种认知诊断方法的优缺点，包括源自美国国家神经心理学网络的分类法、DSM-V 神经认知障碍、老年/临床前痴呆文献中的轻度认知障碍分类以及研究领域标准倡议。我们提出了一个制定基于共识的癫痫认知障碍分类系统的框架，该系统将具有国际范围，适用于全球的临床实践和研究，并介绍了国际癫痫认知障碍分类（IC-CODE）项目。
