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
Summary
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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