Recognition and classification of seizures in infants

Epilepsia
D R NordliT A Pedley

Abstract

We wished to assess the reliability of the International League Against Epilepsy (ILAE) seizure classification system applied to infantile seizures and to test a proposed new classification. We first analyzed 39 seizures in 20 infants (aged 1-26 months) recorded with simultaneous closed-circuit television and EEG (CCTV/EEG). EEGs and videotapes of all seizures were independently analyzed by two epileptologists blinded to clinical histories. Videotapes of each seizure were reviewed without simultaneous EEG (phase 1), and printouts of ictal EEGs were assessed without behavioral correlates (phase II). The observers classified seizures according to ILAE criteria. Interrater agreement was assessed by the kappa statistic. Agreement on EEG features (phase II) was moderate (= 0.54) in identifying focal ictal onsets and substantial (= 0.79) in identifying generalized onsets. In contrast, analysis of videotapes showed substantial disagreement between observers in terms of classifying seizures as partial or generalized. Therefore, agreement between observers for partial was slight (= 0.14) and fair for generalized seizures (= 0.26). Similarly, conclusions of the observers as compared with those of a consensus panel were divergent for both...Continue Reading

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Citations

Nov 18, 1998·Annals of Neurology·E WyllieP Ruggieri
Mar 20, 2002·Current Neurology and Neuroscience Reports·D R NordliK D Holland
Aug 22, 2003·Current Neurology and Neuroscience Reports·James J Riviello
May 8, 2008·Current Neurology and Neuroscience Reports·David T HsiehPhillip L Pearl
Jun 16, 2005·Journal of Anxiety Disorders·S Alvarez-SilvaI Alvarez-Silva
May 19, 2001·Neurologic Clinics·S R Benbadis
Sep 3, 2003·Psychiatry and Clinical Neurosciences·Hideki AzumaToshiaki A Furukawa
Sep 14, 2001·Epilepsia·D R NordliL J Hirsch
Jun 26, 2001·Epilepsia·H YoshinagaE Oka
Aug 16, 2002·Epilepsia·Kristina KällénPrakash Kotagal
Jun 13, 2002·Epilepsia·András FogarasiIngrid Tuxhorn
Jun 13, 2002·Epilepsia·Douglas R Nordli
Jun 8, 1999·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·E M Mizrahi
Oct 26, 1999·Epilepsia·J M Pellock, R Appleton
Apr 1, 1999·Acta Neurologica Scandinavica·H LüdersE Wyllie
Sep 17, 2013·Epilepsy & Behavior : E&B·P M BrnaK E Gordon
Aug 15, 2014·Indian Journal of Pediatrics·Ajay Gupta
Nov 29, 2011·Indian Journal of Pediatrics·K SasidaranPratibha Singhi
Sep 21, 2013·Indian Journal of Pediatrics·Anita Sharma
May 5, 2009·Seminars in Pediatric Neurology·Matthew Troester, Harold L Rekate
Apr 18, 2007·Pediatric Neurology·Tugba HirfanogluKivilcim Gucuyener
Feb 21, 2006·Pediatric Clinics of North America·Tonia Brousseau, Ghazala Q Sharieff
Oct 23, 2013·Epilepsia·Renzo GuerriniUNKNOWN Commission for Epilepsy Surgery of the Italian League Against Epilepsy
Jul 4, 2006·Epilepsy Research·Christian M Korff, Douglas R Nordli
Dec 27, 2005·Epilepsy Research·Jack Pellock
Jul 28, 2004·Pediatric Clinics of North America·Mary L Zupanc
Jul 14, 2009·Seizure : the Journal of the British Epilepsy Association·Cigdem Inan AkmanFrank Gilliam
Jun 22, 2002·Seizure : the Journal of the British Epilepsy Association·K J KimY S Hwang
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Nov 12, 2019·Seizure : the Journal of the British Epilepsy Association·Jun T Park, Guadalupe Fernandez-Baca Vaca

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