A NEW CLINICAL DEFINITION OF EPILEPSY
Abstract
Abstract: the article provides a revised definition of epilepsy, according to the recommendations of the International League Against Epilepsy. Epilepsy can be installed after one unprovoked seizure in people who have other factors associated with a high risk of permanent lowering of the threshold of convulsive readiness. Persons with reflex seizures also attributed to epilepsy. It is resolved that epilepsy is no longer for those who had no seizures for at least 10 years without antiepileptic therapy, provided that there are no known risk factors associated with a high risk of recurrence of seizures.
About the Authors
T. V. Dokukina
Republic Mental Health Research Center, Minsk
Belarus
Belarus
M. V. Makhrov
Republic Mental Health Research Center, Minsk
Belarus
Belarus
References
1. Beghi E., Balzarini C., Bogliun G. et al. Reliability of the El Escorial diagnostic criteria for amyotrophic lateral sclerosis. Neuroepidemiology. 2002; 21: 265-270.
2. Beghi E., Carpio A., Forsgren L. et al. Recommendation for a definition of acute symptomatic seizure. Epilepsia. 2010; 51: 671-675.
3. Berg A.T., Shinnar S. The risk of seizure recurrence following a first unprovoked seizure: a quantitative review. Neurology. 1991; 41: 965-972.
4. Chadwick D., Taylor J., Johnson T. Outcomes after seizure recurrence in people with well-controlled epilepsy and the factors that influence it. The MRC Antiepileptic Drug Withdrawal Group. Epilepsia. 1996; 37:1043-1050.
5. Fisher R.S., van Emde Boas W., Blume W. et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005; 46: 470-472.
6. Fisher R.S., Acevedo C., Arzimanoglou A. et al. ILAE Official Report: A practical clinical definition of epilepsy. Epilepsia. 2014; 55: 475-482.
7. Geithner J., Schneider F., Wang Z. et al. Predictors for long-term seizure outcome in juvenile myoclonic epilepsy: 25-63 years of follow-up. Epilepsia. 2012; 53: 1379-1386.
8. Harding G. The reflex epilepsies with emphasis on photosensitive epilepsy. Suppl. Clin. Neurophysiol. 2004: 57: 433-438.
9. Hauser W.A., Annegers J.F., Kurland L.T. Prevalence of epilepsy in Rochester, Minnesota: 1940-1980. Epilepsia. 1991; 32: 429-445.
10. Hauser W.A., Rich S.S., Lee J.R. et al. Risk of recurrent seizures after two unprovoked seizures. N. Engl. J. Med. 1998; 338: 429-434.
11. Hesdorffer D.C., Benn E.K., Cascino G.D. et al. Is a first acute symptomatic seizure epilepsy? Mortality and risk for recurrent seizure. Epilepsia. 2009; 50: 1102-1108.
12. Kim W., Stramotas S., Choy W. et al. Prognostic factors for postoperative seizure outcomes after cavernous malformation treatment. J. Clin. Neurosci. 2011; 18: 877-880.
13. Lindsten H., Stenlund H., Forsgren L. Remission of seizures in a population-based adult cohort with a newly diagnosed unprovoked epileptic seizure. Epilepsia. 2001; 42: 1025-1030.
14. Lossius M.I., Hessen E., Mowinckel P. et al. Consequences of antiepileptic drug withdrawal: a randomized, double-blind study (Akershus Study). Epilepsia. 2008; 49: 455-463.
15. Neligan A., Hauser W.A., Sander J.W. The epidemiology of the epilepsies. Handb. Clin. Neurol. 2012: 107: 113-133.
16. Polman C.H., Reingold S.C., Banwell B. et al. Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann. Neurol. 2011; 69: 292-302.
17. Rajna P., Solyom A. Oligoepilepsy: a real entity or the benign form of epileptic disorder? Ideggyogy. Sz. 2011; 64: 344-349.
18. Rowland N.C., Englot D.J., Cage Т.А. et al. A meta-analysis of predictors of seizure freedom in the surgical management of focal cortical dysplasia. J. Neurosurg. 2012; 116: 1035-1041.
19. Silberstein S., Loder E., Diamond S. et al. Probable migraine in the United States: results of the American Migraine Prevalence and Prevention (AMPP) study. Cephalgia. 2007; 27: 220-229.
20. Stroink H., Brouwer O.F., Arts W.F. et al. The first unprovoked, untreated seizure in childhood: a hospital based study of the accuracy of the diagnosis, rate of recurrence, and long term outcome after recurrence. Dutch study of epilepsy in childhood. J. Neurol. Neurosurg. Psychiatry. 1998; 64: 595-600.
21. Tang W.K., Chan S.S., Chiu H.F. et al. Impact of applying NINDSAIREN criteria of probable vascular dementia to clinical and radiological characteristics of a stroke cohort with dementia. Cerebrovasc. Dis. 2004; 18: 98-103.
Review
For citations:
Dokukina T.V., Makhrov M.V. A NEW CLINICAL DEFINITION OF EPILEPSY. Epilepsy and paroxysmal conditions. 2014;6(3):38-44. (In Russ.)
Views:
716
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Email this article 
