Epilepsinin Sınıflandırılması
Özet
Epilepsi sınıflamaları, nöbet tiplerinin, tetikleyicilerin ve tedavi seçeneklerinin belirlenmesinde klinisyenler için ortak bir dil oluşturarak hasta takibini kolaylaştırır. Tarihsel süreçte ILAE'nin 1981 ve 2017 sınıflamaları ile klinik semiyolojiye dayalı SSC yöntemi gibi farklı yaklaşımlar geliştirilmiş, bu sistemler fokal ve jeneralize nöbetleri temel özelliklerine göre ayırmıştır. Yenidoğan dönemi için ise klinik ve EEG bulgularını birleştiren özel sınıflamalar kullanılmakta olup, bu sistemlerin bütüncül bir yaklaşımla ortak kullanımı hedeflenmektedir.
Referanslar
Fisher RS, Cross JH, French JA, Higurashi N, Hirsch E, Jansen FE, et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia. 2017;58(4):522-30.
Serdaroglu A, Ozkan S, Aydin K, Gucuyener K, Tezcan S, Aycan S. Prevalence of epilepsy in Turkish children between the ages of 0 and 16 years. J Child Neurol. 2004;19(4):271-4.
Pack AM. Epilepsy Overview and Revised Classification of Seizures and Epilepsies. Continuum (Minneap Minn). 2019;25(2):306-21.
Gastaut H. Classification of the epilepsies. Proposal for an international classification. Epilepsia. 1969;10:Suppl:14-21.
Proposal for revised clinical and electroencephalographic classification of epileptic seizures. From the Commission on Classification and Terminology of the International League Against Epilepsy. Epilepsia. 1981;22(4):489-501.
Luders H, Acharya J, Baumgartner C, Benbadis S, Bleasel A, Burgess R, et al. Semiological seizure classification. Epilepsia. 1998;39(9):1006-13.
Scheffer IE, Berkovic S, Capovilla G, Connolly MB, French J, Guilhoto L, et al. ILAE classification of the epilepsies: Position paper of the ILAE Commission for Classification and Terminology. Epilepsia. 2017;58(4):512-21.
Luders H, Vaca GF, Akamatsu N, Amina S, Arzimanoglou A, Baumgartner C, et al. Classification of paroxysmal events and the four-dimensional epilepsy classification system. Epileptic Disord. 2019;21(1):1-29.
Pisani F, Spagnoli C, Falsaperla R, Nagarajan L, Ramantani G. Seizures in the neonate: A review of etiologies and outcomes. Seizure. 2021;85:48-56.
Pressler RM, Cilio MR, Mizrahi EM, Moshe SL, Nunes ML, Plouin P, et al. The ILAE classification of seizures and the epilepsies: Modification for seizures in the neonate. Position paper by the ILAE Task Force on Neonatal Seizures. Epilepsia. 2021;62(3):615-28.
Rosenow F, Akamatsu N, Bast T, Bauer S, Baumgartner C, Benbadis S, et al. Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"? Seizure. 2020;78:31-7.