Lecture Details

EEG in paediatric seizure syndromes
Sushma Goyal

Sushma is the Lead Consultant Paediatric Clinical Neurophysiologist at
Evelina London Children’s Hospital and an Honorary Consultant at King’s
College Hospital, London. Her specialist interests include diagnosis of seizures
and epilepsy in neonates and children and evaluation of children for epilepsy
surgery. She was a part of the King’s team that won the NHS Innovation
Challenge Prize for developing Home video EEG telemetry in the UK. She
teaches on the British Neurophysiology and Paediatric Neurology training
programmes and is also a faculty on neonatal and paediatric EEG courses conducted by the ILAE. She is the International Secretary of the British Society of Clinical Neurophysiology and was a member of ILAE Neurophysiology taskforce set up for the role of EEG in the diagnosis and classification of epilepsy syndromes

The ILAE classification of epilepsy was updated in 2017 to consider an etiologic diagnosis and associated comorbidity right from when the child first presents, and at each step along the diagnostic pathway. Epilepsy Syndrome diagnosis is the third tier of classification and refers to a cluster of features incorporating seizure types, EEG, and imaging features that tend to occur together. It often has age-dependent features such as age at onset and remission, seizure triggers, diurnal variation. This may have associated prognostic and treatment implications. These may also have distinctive comorbidities such as intellectual and psychiatric dysfunction, together with specific findings on EEG and imaging studies. The aim of this talk is to describe the common epilepsy syndromes in children according to the age of presentation with a focus on the emerging concepts of defining associated electro-clinical video EEG features.
Koutroumanidis M, Arzimanoglou A, Caraballo R, Goyal S, Kaminska A, Laoprasert P, Oguni H, Rubboli G, Tatum W, Thomas P, Trinka E, Vignatelli L, Moshé SL (2017). The role of EEG in the diagnosis and classification of the epilepsy syndromes: a tool for clinical practice by the ILAE Neurophysiology Task Force (2). Epileptic Disorders 2017 19:385-437.
Scheffer IE, Berkovic,S Capovilla G, Connolly MB, French J, Guilhoto L, Hirsch E, Jain S, Mathern GW, Moshé SL, Nordli DR, Perucca E, Tomson T, Wiebe S, Zhang YH, Zuberi SM. (2017) ILAE classification of the epilepsies: Position paper of the ILAE Commission for Classification and Terminology. Epilepsia 58(4):512-21.