Scientific article
English

Epileptic activity is a surrogate for an underlying etiology and stopping the activity has a limited impact on developmental outcome

Published in

Epilepsia, vol. 56, no. 10, p. 1477-1481

Publication date

2015

Abstract

The concept of epileptic encephalopathy is important in clinical practice, but its relevance to an individual must be assessed in the appropriate context. Except in rare situations, epileptic activity is a surrogate for an underlying etiology, and stopping the activity has a limited impact on developmental outcome. Labeling a group of epilepsies as "the epileptic encephalopathies," risks minimizing the impact of epileptic activity on cognition and behavior more widely in epilepsy. Similarly, describing the encephalopathy associated with many infantile onset epilepsies as "epileptic" may be misleading. Finally, concentrating on the epileptic activity alone and not considering the wider consequences of the underlying etiology on cognitive and behavioral development, may focus research efforts and the search for improved therapies on too narrow a target. Therefore, epileptic encephalopathies should not be considered as a specific group of epilepsies but, rather, the concept of epileptic encephalopathy should be applicable to all types of epilepsies and epilepsy syndromes, whenever it is relevant in the clinical course of a particular individual, at any age.

Citation (ISO format)

KORFF, Christian, BRUNKLAUS, Andreas, ZUBERI, Sameer M. Epileptic activity is a surrogate for an underlying etiology and stopping the activity has a limited impact on developmental outcome. In: Epilepsia, 2015, vol. 56, n° 10, p. 1477–1481. doi: 10.1111/epi.13105

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Article (Published version)

Identifiers

Journal ISSN

0013-9580
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Technical informations

Creation

16/09/2015 14:54:00

First validation

16/09/2015 14:54:00

Update

14/03/2023 23:44:06

Status update

14/03/2023 23:44:06

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