Neuroimaging in the definition and organization of the epilepsies: We’re not there yet

作者: Jason S. Hauptman , Noriko Salamon , Gary W. Mathern

DOI: 10.1111/J.1528-1167.2012.03555.X

关键词: PsychiatryDiagnostic toolsNeuroimagingEtiologyAbnormalityEpilepsyMedicineElectroencephalographyIntensive care medicineEpilepsy syndromes

摘要: Neuroimaging significantly impacts the diagnosis and treatment of epilepsy patients. Despite its importance, MRI has been marginally incorporated into concepts used to define etiologies by ILAE Classification Commission. We propose that Structural etiology be defined as positive neuroimaging abnormalities likely causing seizures. This would contrast with Genetic Unknown where imaging shows no overt structural abnormality explains It is further recommended Metabolic separated individual categories outcomes therapies are different. advocated subdivided subgroups based on surgical syndromes. With this approach, should acknowledge both EEG necessary diagnostic tools in classification syndromes modern era. Promoting use determine terminology will promote notion consider seizures, along frequency most common syndromes, prognosis for spontaneous treated remission cure.

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