Acceptance and perceptions on the 2025 update of the ILAE classification of epileptic seizures: A survey of neurologists and neurology residents

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-09-01 DOI:10.1016/j.yebeh.2025.110696

Alvaro Sanchez-Larsen , Antía Moreira Villanueva , Luísa Panadés-de Oliveira , Blanca Mercedes-Alvarez , Laura Esther Torres-Lopez , David Sopelana-Garay , Abel Alejandro Sanabria-Sanchinel

{"title":"Acceptance and perceptions on the 2025 update of the ILAE classification of epileptic seizures: A survey of neurologists and neurology residents","authors":"Alvaro Sanchez-Larsen , Antía Moreira Villanueva , Luísa Panadés-de Oliveira , Blanca Mercedes-Alvarez , Laura Esther Torres-Lopez , David Sopelana-Garay , Abel Alejandro Sanabria-Sanchinel","doi":"10.1016/j.yebeh.2025.110696","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>The International League Against Epilepsy (ILAE) has recently updated the classification of epileptic seizures. This study aims to explore the perspectives of a broad group of neurologists and neurology residents regarding the new classification.</div></div><div><h3>Methods</h3><div>A structured, anonymous online survey was distributed among adult general neurologists, epileptologists, and neurology residents across 10 Spanish-speaking countries. A 23-item questionnaire covered demographic data and opinions on the ILAE seizure classifications. Descriptive and bivariate statistical analyses were performed.</div></div><div><h3>Results</h3><div>A total of 124 participants completed the survey. While 56.5 % supported updating the 2017 classification, 53.3 % felt the revision came too soon. The 2017 version remained the preferred seizure classification (48.8 %), followed by the 2025 update (30.1 %) and earlier versions. Although 44.7 % of respondents expressed a favourable opinion of the 2025 classification, most participants feel it does not address the limitations of the previous version. Epileptologists were significantly more favourable toward the update (61.9 %) and rated it higher. Neurology residents were the most critical subgroup. Nearly half (49.6 %) of participants expect to adopt the new classification in their clinical practice, while 26.0 % are undecided, and 24.4 % believe they will not.</div></div><div><h3>Conclusion</h3><div>The 2025 ILAE seizure classification received mixed feedback from a considerable group of neurologists and neurology residents. While epileptologists were more receptive, many non-epileptologist neurologists and residents questioned its timing and practical benefit. The 2017 version remains the most accepted version of all ILAE classifications. Nevertheless, the new classification is expected to be widely adopted in clinical practice.</div></div>","PeriodicalId":11847,"journal":{"name":"Epilepsy & Behavior","volume":"172 ","pages":"Article 110696"},"PeriodicalIF":2.3000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epilepsy & Behavior","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1525505025004366","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"BEHAVIORAL SCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

The International League Against Epilepsy (ILAE) has recently updated the classification of epileptic seizures. This study aims to explore the perspectives of a broad group of neurologists and neurology residents regarding the new classification.

Methods

A structured, anonymous online survey was distributed among adult general neurologists, epileptologists, and neurology residents across 10 Spanish-speaking countries. A 23-item questionnaire covered demographic data and opinions on the ILAE seizure classifications. Descriptive and bivariate statistical analyses were performed.

Results

A total of 124 participants completed the survey. While 56.5 % supported updating the 2017 classification, 53.3 % felt the revision came too soon. The 2017 version remained the preferred seizure classification (48.8 %), followed by the 2025 update (30.1 %) and earlier versions. Although 44.7 % of respondents expressed a favourable opinion of the 2025 classification, most participants feel it does not address the limitations of the previous version. Epileptologists were significantly more favourable toward the update (61.9 %) and rated it higher. Neurology residents were the most critical subgroup. Nearly half (49.6 %) of participants expect to adopt the new classification in their clinical practice, while 26.0 % are undecided, and 24.4 % believe they will not.

Conclusion

The 2025 ILAE seizure classification received mixed feedback from a considerable group of neurologists and neurology residents. While epileptologists were more receptive, many non-epileptologist neurologists and residents questioned its timing and practical benefit. The 2017 version remains the most accepted version of all ILAE classifications. Nevertheless, the new classification is expected to be widely adopted in clinical practice.

查看原文本刊更多论文

对2025年更新的ILAE癫痫发作分类的接受和看法：一项对神经科医生和神经内科住院医师的调查

目的国际抗癫痫联盟（ILAE）最近更新了癫痫发作的分类。本研究旨在探讨广大神经科医师和住院医师对新分类的看法。方法对10个西班牙语国家的成年普通神经科医生、癫痫医生和神经科住院医生进行结构化、匿名的在线调查。一份23项调查问卷涵盖了人口统计数据和对ILAE癫痫分类的意见。进行描述性和双变量统计分析。结果共有124名参与者完成了调查。虽然56.5%的人支持更新2017年的分类，但53.3%的人认为修订来得太快了。2017年版本仍然是首选缉获分类（48.8%），其次是2025年更新（30.1%）和更早的版本。虽然44.7%的受访者对2025年的分类表示赞成，但大多数参与者认为它没有解决以前版本的局限性。癫痫病医生明显更倾向于更新（61.9%），并给予更高的评价。神经内科住院医师是最关键的亚组。将近一半（49.6%）的参与者期望在他们的临床实践中采用新的分类，而26.0%的人尚未决定，24.4%的人认为他们不会。结论2025年ILAE发作分类从相当多的神经科医师和神经内科住院医师那里得到了不同的反馈。虽然癫痫病医生更容易接受，但许多非癫痫病医生神经科医生和住院医生质疑其时机和实际效益。2017年版本仍然是所有ILAE分类中最被接受的版本。尽管如此，新的分类有望在临床实践中广泛采用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.