Usefulness of Ilae 2010 classification in Mexican epilepsy patients
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Objective Advances in neuroimaging, genomics, and molecular biology have improved the understanding of the pathogenesis of epilepsy. That is why the International League Against Epilepsy (ILAE) has created a new classification system. The present study aims to evaluate the association between epilepsy cases classified by the ILAE 2010 classification proposal, electroencephalography (EEG), and magnetic resonance imaging brain findings (MRI). Methods Prospective cross-sectional design of 277 cases of epilepsy seen at the Epilepsy Clinic, Hospital Central “Dr. Ignacio Morones Prieto”, were compared with the ILAE classification based on the etiology and clinical manifestations and their MRI and EEG findings. Statistical analysis Cochran, Mantell, Haenzel test with significance p < 0.05. Results MRI findings were associated with the etiology of the ILAE classification. According to EEG findings, the structural-metabolic etiology patients had more dysfunctional reports than genetic or unknown etiology patients (p < 0.05). Significance The adoption of the ILAE classification is recommended, as it can provide useful guidance towards the etiology of cases of epilepsy even when brain MRIs and EEGs are not available. © 2017 Elsevier B.V.
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EEG; Epilepsy; ILAE 2010; MRI anticonvulsive agent; adolescent; adult; aged; Article; blood vessel injury; clinical evaluation; controlled study; cross-sectional study; disease association; electroencephalography; epilepsy; female; focal epilepsy; hippocampal sclerosis; human; International League Against Epilepsy; major clinical study; male; medical society; Mexican; neuroimaging; nuclear magnetic resonance imaging; priority journal; prognosis; prospective study; tonic clonic seizure; brain; classification; diagnostic imaging; epilepsy; Mexico; middle aged; pathophysiology; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Brain; Cross-Sectional Studies; Electroencephalography; Epilepsy; Female; Humans; Magnetic Resonance Imaging; Male; Mexico; Middle Aged; Prospective Studies; Young Adult
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