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      International veterinary epilepsy task force consensus report on epilepsy definition, classification and terminology in companion animals

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          Abstract

          Dogs with epilepsy are among the commonest neurological patients in veterinary practice and therefore have historically attracted much attention with regard to definitions, clinical approach and management. A number of classification proposals for canine epilepsy have been published during the years reflecting always in parts the current proposals coming from the human epilepsy organisation the International League Against Epilepsy (ILAE). It has however not been possible to gain agreed consensus, “a common language”, for the classification and terminology used between veterinary and human neurologists and neuroscientists, practitioners, neuropharmacologists and neuropathologists. This has led to an unfortunate situation where different veterinary publications and textbook chapters on epilepsy merely reflect individual author preferences with respect to terminology, which can be confusing to the readers and influence the definition and diagnosis of epilepsy in first line practice and research studies.

          In this document the International Veterinary Epilepsy Task Force (IVETF) discusses current understanding of canine epilepsy and presents our 2015 proposal for terminology and classification of epilepsy and epileptic seizures. We propose a classification system which reflects new thoughts from the human ILAE but also roots in former well accepted terminology. We think that this classification system can be used by all stakeholders.

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          Most cited references44

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          Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology.

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            Prevalence and risk factors for canine epilepsy of unknown origin in the UK.

            Epidemiological evaluation of canine epilepsy is an under-researched area. The objectives of this study were to estimate prevalence and investigate risk factors for epilepsy of unknown origin (EUO) among dogs attending primary veterinary practices in the UK. The clinical data analysed spanned a two-year period and included all dogs attending 92 primary veterinary clinics participating in the VetCompass project. Five hundred and thirty-nine EUO cases were identified giving a prevalence of 0.62% (95% CI 0.57% to 0.67%). Males were over 1.5 times as likely to have EUO compared with females (95% CI 1.44 to 2.06; P < 0.001). Of purebred dogs, the border terrier had 2.70 (95% CI 1.57 to 4.62; P < 0.001) and the German shepherd dog had 1.90 (95% CI 1.28 to 2.80; P=0.001) times increased odds of EUO compared with crossbred dogs. In addition, the West Highland white terrier had reduced odds (OR 0.23; 95% CI 0.08 to 0.62; P=0.004) of EUO compared with crossbred dogs (likelihood ratio test P < 0.0001). No association was found with neuter status, colour or weight. The current study highlights the clinical importance of epilepsy as a canine disorder in the UK. Increased awareness of sex and breed predispositions may assist clinicians with diagnosis. Further research is merited to evaluate the specific breed associations identified.
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              The etiologic classification of epilepsy.

              The etiology of epilepsy is a major determinant of clinical course and prognosis, yet the current classifications of epilepsy do not list etiology in any detail. In this article, a classification (database) of the etiologies of epilepsy is proposed. In this scheme, the etiology of epilepsy is divided into four categories: idiopathic, symptomatic, provoked, and cryptogenic. These are defined and subcategories are proposed. A commentary addressing the following points is included: problems associated with assigning causation, symptomatic versus idiopathic epilepsy, focal versus generalized epilepsy, acquired epilepsy, acute symptomatic epilepsy, risk factor analysis, provoked epilepsy genetic and developmental epilepsy, and epilepsy as a disease not a symptom. Wiley Periodicals, Inc. © 2011 International League Against Epilepsy.
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                Author and article information

                Contributors
                mbe@sund.ku.dk
                robyn.fernside@googlemail.com
                P.J.J.Mandigers@uu.nl
                akos.pakozdy@vetmeduni.ac.at
                sofie.bhatti@ugent.be
                luisa.derisio@aht.org.uk
                andreafischer@lmu.de
                snlong@unimelb.edu.au
                matiasek@patho.vetmed.uni-muenchen.de
                krmunana@ncsu.edu
                patte037@umn.edu
                jacques.penderis@vet-neurology.co.uk
                srplatt@uga.edu
                mpodell@comcast.net
                potschka@pharmtox.vetmed.uni-muenchen.de
                marti.pumarola@uab.cat
                ClareR@fitzpatrickreferrals.co.uk
                Veronika.Stein@tiho-hannover.de
                Andrea.Tipold@tiho-hannover.de
                hvolk@rvc.ac.uk
                Journal
                BMC Vet Res
                BMC Vet. Res
                BMC Veterinary Research
                BioMed Central (London )
                1746-6148
                28 August 2015
                28 August 2015
                2015
                : 11
                : 182
                Affiliations
                [ ]Department of Veterinary Clinical and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark
                [ ]Fernside Veterinary Centre, 205 Shenley Road, Borehamwood, SG9 0TH Hertfordshire, UK
                [ ]Department of Clinical Sciences of Companion Animals, Utrecht University, Yalelaan 108, 3583 CM Utrecht, The Netherlands
                [ ]Clinical Unit of Internal Medicine Small Animals, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria
                [ ]Department of Small Animal Medicine and Clinical Biology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, Merelbeke, 9820 Belgium
                [ ]Animal Health Trust, Lanwades Park, Kentford, Newmarket, CB8 7UU Suffolk, UK
                [ ]Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-University, Veterinärstr. 13, 80539 Munich, Germany
                [ ]University of Melbourne, 250 Princes Highway, Weibee, 3015 Victoria, Australia
                [ ]Section of Clinical & Comparative Neuropathology, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-University, Veterinärstr. 13, 80539 Munich, Germany
                [ ]Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, 1052 William Moore Drive, Raleigh, NC 27607 USA
                [ ]University of Minnesota College of Veterinary Medicine, D426 Veterinary Medical Center, 1352 Boyd Avenue, St. Paul, MN, 55108 USA
                [ ]Vet Extra Neurology, Broadleys Veterinary Hospital, Craig Leith Road, Stirling, FK7 7LE Stirlingshire, UK
                [ ]College of Veterinary Medicine, University of Georgia, 501 DW Brooks Drive, Athens, GA 30602 USA
                [ ]Chicago Veterinary Neurology and Neurosurgery, 3123 N. Clybourn Avenue, Chicago, IL 60618 USA
                [ ]Department of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximillians-University, Königinstr. 16, 80539 Munich, Germany
                [ ]Department of Animal Medicine and Surgery, Veterinary Faculty, Universitat Autònoma de Barcelona, Campus UAB, Bellaterra, 08193 Barcelona, Spain
                [ ]Fitzpatrick Referrals, Halfway Lane, Eashing, Godalming, GU7 2QQ Surrey, UK
                [ ]School of Veterinary Medicine, Faculty of Health & Medical Sciences, University of Surrey, Guildford, GU2 7TE Surrey, UK
                [ ]Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559 Hannover, Germany
                [ ]Department of Clinical Science and Services, Royal Veterinary College, Hatfield, AL9 7TA Hertfordshire, UK
                Article
                461
                10.1186/s12917-015-0461-2
                4552272
                26316133
                f9a00981-3f79-48c5-8861-b3ee01006eb0
                © Berendt et al. 2015

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 3 June 2015
                : 29 June 2015
                Categories
                Correspondence
                Custom metadata
                © The Author(s) 2015

                Veterinary medicine
                epilepsy,seizures,dog,classification,semiology
                Veterinary medicine
                epilepsy, seizures, dog, classification, semiology

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