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Testing awareness in focal seizures: Clinical practice and interpretation of current guidelines
oleh: Violeta Contreras Ramirez, Aparna Vaddiparti, Hal Blumenfeld
Format: | Article |
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Diterbitkan: | Wiley 2022-05-01 |
Deskripsi
Abstract The International League Against Epilepsy (ILAE) classification of focal seizures uses recall of experiences postâictally to assess for awareness and not ictal responsiveness to external stimuli, stating that responsiveness is often not tested. We investigated how clinicians assess for seizure awareness by administering an online survey. We found that most respondents use both responsiveness and recall to assess for awareness in the clinic (78%) and in the epilepsy monitoring unit (72%). Furthermore, 60% of respondents believe that the ILAE recommends using both measures. Given our results, we believe that using both responsiveness and recall would provide a more practical classification of impaired consciousness in focal seizures.