Report of the ILAE Classification Core Group
Report of the ILAE Classification Core Group
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DOI：
10.1111/j.1528-1167.2006.00215.x
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发表时间：
2006-09-01
期刊：
影响因子：
5.6
通讯作者：
Engel, Jerome, Jr.
中科院分区：
文献类型：
--
作者：
Engel, Jerome, Jr.
分类和术语工作队的一个核心小组评价了大会2001年在布宜诺斯艾利斯核准的癫痫发作类型和癫痫综合征清单，并审议了可能的替代分类系统。尚未提出新的分类。由于1981年的癫痫发作类型分类和1989年的癫痫综合征和癫痫分类被普遍接受和可行，除非设计出明显更好的分类，否则它们不会被丢弃，尽管可能会建议定期修改当前的分类。然而，目前，核心小组的重点是建立科学严格的标准，以确定特定的癫痫发作类型和特定的癫痫综合征作为独特的诊断实体，并正在考虑采用循证方法。短期目标是向ILAE执行委员会提交一份癫痫发作类型和综合征的清单，以供批准作为可验证的工作假设，并进行验证、伪造和修订。本报告代表这项工作的完成。如果随后有足够的证据证明任何假设不成立，则将在执行委员会批准的情况下重新评估和修改或丢弃癫痫发作类型或综合征。因此，识别特定的癫痫发作类型和综合征，以及癫痫发作类型和综合征分类的任何变化，将继续是一个持续的动态过程。这种方法的一个主要目的是确定必要的研究，以澄清剩余的不确定性问题，并为新的分类铺平道路。
A Core Group of the Task Force on Classification and Terminology has evaluated the lists of epileptic seizure types and epilepsy syndromes approved by the General Assembly in Buenos Aires in 2001, and considered possible alternative systems of classification. No new classification has as yet been proposed. Because the 1981 classification of epileptic seizure types, and the 1989 classification of epilepsy syndromes and epilepsies are generally accepted and workable, they will not be discarded unless, and until, clearly better classifications have been devised, although periodic modifications to the current classifications may be suggested. At this time, however, the Core Group has focused on establishing scientifically rigorous criteria for identification of specific epileptic seizure types and specific epilepsy syndromes as unique diagnostic entities, and is considering an evidence-based approach. The short-term goal is to present a list of seizure types and syndromes to the ILAE Executive Committee for approval as testable working hypotheses, subject to verification, falsification, and revision. This report represents completion of this work. If sufficient evidence subsequently becomes available to disprove any hypothesis, the seizure type or syndrome will be reevaluated and revised or discarded, with Executive Committee approval. The recognition of specific seizure types and syndromes, as well as any change in classification of seizure types and syndromes, therefore, will continue to be an ongoing dynamic process. A major purpose of this approach is to identify research necessary to clarify remaining issues of uncertainty, and to pave the way for new classifications.