Testing awareness in focal seizures: Clinical practice and interpretation of current guidelines.

Testing awareness in focal seizures: Clinical practice and interpretation of current guidelines.
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DOI:
10.1002/acn3.51552
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发表时间:
2022-05
影响因子:
5.3
通讯作者:
Blumenfeld, Hal
Blumenfeld, Hal
中科院分区:
医学2区
文献类型:
--
作者:
Ramirez, Violeta Contreras;Vaddiparti, Aparna;Blumenfeld, Hal

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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.
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