Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Department of Neuroscience, Yale University School of Medicine, New Haven, Connecticut, USA.
Ann Clin Transl Neurol. 2022 May;9(5):762-765. doi: 10.1002/acn3.51552. Epub 2022 Apr 29.
The International League Against Epilepsy (ILAE) classification of focal seizures uses recall of experiences post-ictally to assess for awareness and not ictal responsiveness to external stimuli, stating that responsiveness is often not tested. We investigated how clinicians assess for seizure awareness by administering an online survey. We found that most respondents use both responsiveness and recall to assess for awareness in the clinic (78%) and in the epilepsy monitoring unit (72%). Furthermore, 60% of respondents believe that the ILAE recommends using both measures. Given our results, we believe that using both responsiveness and recall would provide a more practical classification of impaired consciousness in focal seizures.
国际抗癫痫联盟（ILAE）的局灶性癫痫发作分类使用发作后对经历的回忆来评估意识，而不是对外界刺激的发作反应，称反应通常未被测试。我们通过在线调查研究了临床医生如何评估癫痫发作意识。我们发现，大多数受访者在诊所（78%）和癫痫监测单元（72%）中都使用反应和回忆来评估意识。此外，60%的受访者认为 ILAE 建议使用这两种方法。鉴于我们的结果，我们认为同时使用反应和回忆可以更实际地对局灶性癫痫发作中的意识障碍进行分类。
