Abstract

The classification of epilepsy syndromes made initially on the basis of information at time of diagnosis was compared to that made 2 years later in a cohort of 613 children, followed by participating physicians in Connecticut, between 1993 and 1997.

Highlights

  • The classification of epilepsy syndromes made initially on the basis of information at time of diagnosis was compared to that made 2 years later in a cohort of 613 children, followed by participating physicians in Connecticut, between 1993 and 1997

  • The diagnosis was changed in 10%, and syndrome evolution, mainly West to Lennox-Gastaut, occurred in 4%

  • Significant changes were rare

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Summary

Introduction

The classification of epilepsy syndromes made initially on the basis of information at time of diagnosis was compared to that made 2 years later in a cohort of 613 children, followed by participating physicians in Connecticut, between 1993 and 1997. After 2 years, syndrome classifications were the same in 86% of the cohort. The diagnosis was changed in 10% (mainly incomplete syndromes), and syndrome evolution, mainly West to Lennox-Gastaut, occurred in 4%. (Berg AT, Shinnar S, Levy SR et al How well can epilepsy syndromes be identified at diagnosis?

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