Clinical Application and Issues Regarding the Diagnostic Scheme for Patients with Epliptic Seizures and Epilepsy (2001) in the Pediatric Field

Abstract

Erratum: an addition to English Abstract
Note: erroneous description in the abstract
For two years we investigated the applicability of and problematic issues with the Diagnostic Scheme for Patients with Epliptic Seizures and Epilepsy proposed by the ILAE in 2001, by studying the diagnoses and classifications of patients with epilepsy who first visited our pediatric department. The subjects were 102 cases in 2005 and 136 in 2006 diagnosed based on the 5 axes. While seizure types (2 axes) could be classified using conventional methods, the diagnosis rate of disorder types (3 axes) was 52%, thus failing to reach a satisfactory diagnosis rate. Although the 5 axes are useful for understanding the details of individual cases, this scheme is an inadequate alternative to conventional methods of classification for disorder types and many issues remain to be resolved regarding its clinical use as a common language for diagnosing epilepsy cases.