Critique of the 2017 epileptic seizure and epilepsy classifications

Journal article

Publication Details

Author(s): Lüders H, Akamatsu N, Amina S, Baumgartner C, Benbadis S, Bermeo-Ovalle A, Bleasel A, Bozorgi A, Carreño M, Devereaux M, Fernandez-Baca Vaca G, Francione S, García Losarcos N, Hamer H, Holthausen H, Jamal Omidi S, Kalamangalam G, Kanner A, Knake S, Lacuey N, Lhatoo S, Lim SH, Mani J, Matsumoto R, Miller J, Noachtar S, Palmini A, Park J, Rosenow F, Shahid A, Schuele S, Steinhoff B, Szabo C, Tandon N, Terada K, Van Emde Boas W, Widdess-Walsh P, Kahane P
Journal: Epilepsia
Publication year: 2019
ISSN: 0013-9580


This article critiques the International League Against Epilepsy (ILAE) 2015-2017 classifications of epilepsy, epileptic seizures, and status epilepticus. It points out the following shortcomings of the ILAE classifications: (1) they mix semiological terms with epileptogenic zone terminology; (2) simple and widely accepted terminology has been replaced by complex terminology containing less information; (3) seizure evolution cannot be described in any detail; (4) in the four-level epilepsy classification, level two (epilepsy category) overlaps almost 100% with diagnostic level one (seizure type); and (5) the design of different classifications with distinct frameworks for newborns, adults, and patients in status epilepticus is confusing. The authors stress the importance of validating the new ILAE classifications and feel that the decision of Epilepsia to accept only manuscripts that use the ILAE classifications is premature and regrettable.

FAU Authors / FAU Editors

Hamer, Hajo Prof. Dr. med.
Professur für Epileptologie

External institutions with authors

Beaumont Hospital
Epilepsiezentrum Kork
Foundation Epilepsy Institutes Netherlands
Hospital Clínic de Barcelona
International University of Health and Welfare (IUHW) / 国際医療福祉大学
Kokilaben Dhirubhai Ambani Hospital
Kyoto University Hospital / 京都大学医学部附属病院
Ludwig-Maximilians-Universität (LMU)
Memorial Hermann
National Neuroscience Institute (NNI)
Northwestern University
Ospedale Niguarda Ca' Granda
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
Rush University
Shizuoka Institute of Epilepsy and Neurological Disorders
Universitätsklinikum Frankfurt
Universitätsklinikum Gießen und Marburg (UKGM)
University Hospitals of Cleveland / Case Western Reserve University Hospital
University of Florida
University of Grenoble Alpes (UGA) / Université de Grenoble
University of Miami
University of South Florida (USF)
University of Sydney
UT Health San Antonio
Vienna General Hospital / Allgemeines Krankenhaus der Stadt Wien (AKH)

How to cite

Lüders, H., Akamatsu, N., Amina, S., Baumgartner, C., Benbadis, S., Bermeo-Ovalle, A.,... Kahane, P. (2019). Critique of the 2017 epileptic seizure and epilepsy classifications. Epilepsia.

Lüders, Hans, et al. "Critique of the 2017 epileptic seizure and epilepsy classifications." Epilepsia (2019).


Last updated on 2019-29-05 at 13:23