Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2023 Nov 2;146(11):4411-4413.
doi: 10.1093/brain/awad354.

Out of one, how many? Subtyping in epilepsy

Affiliations
Comment

Out of one, how many? Subtyping in epilepsy

Erik Kaestner et al. Brain. .

Abstract

This scientific commentary refers to ‘Identification of different MRI atrophy progression trajectories in epilepsy by subtype and stage inference’ by Xiao et al. (https://doi.org/10.1093/brain/awad284).

PubMed Disclaimer

Conflict of interest statement

The authors report no competing interests.

Figures

Figure 1
Figure 1
Approaches to subtyping in epilepsy. The top half of the figure (Clinical Classifications) illustrates the patients included by Xiao et al., divided into focal epilepsy and idiopathic generalized epilepsy (IGE) subtypes. These subtypes are well established in the epilepsy field, with judgements made by clinical team consensus. The bottom half of the figure represents the reclassification of these patients using the subtype and stage inference (SuStaIn) approach using T1-weighted structural imaging from each patient. Focal and IGE patients were pooled into SuStaIn separately, with three resulting subtypes identified. Two were common across focal epilepsy and IGE (cortex subtype and basal ganglia subtype) while one was unique to focal epilepsy (hippocampus subtype).

Comment on

References

    1. Fisher RS, Cross JH, French JA, et al. Operational classification of seizure types by the international league against epilepsy: Position paper of the ILAE Commission for classification and terminology. Epilepsia. 2017;58:522–530. - PubMed
    1. Caciagli L, Bernasconi A, Wiebe S, Koepp MJ, Bernasconi N, Bernhardt BC. A meta-analysis on progressive atrophy in intractable temporal lobe epilepsy: Time is brain? Neurology. 2017;89:506–516. - PMC - PubMed
    1. Galovic M, de Tisi J, McEvoy AW, et al. Resective surgery prevents progressive cortical thinning in temporal lobe epilepsy. Brain. 2020;143:3262–3272. - PMC - PubMed
    1. Sperling MR, Harris A, Nei M, Liporace JD, O’Connor MJ. Mortality after epilepsy surgery. Epilepsia. 2005;46(suppl 11):49–53. - PubMed
    1. De Tisi J, Bell GS, Peacock JL, et al. The long-term outcome of adult epilepsy surgery, patterns of seizure remission, and relapse: A cohort study. Lancet. 2011;378:1388–1395. - PubMed

Publication types