Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper

Perucca, Emilio - French, Jacqueline A. - Aljandeel, Ghaieb - Balestrini, Simona - Braga, Patricia

Resumen:

A variety of terms, such as "antiepileptic," "anticonvulsant," and "antiseizure" have been historically applied to medications for the treatment of seizure disorders. Terminology is important because using terms that do not accurately reflect the action of specific treatments may result in a misunderstanding of their effects and inappropriate use. The present International League Against Epilepsy (ILAE) position paper used a Delphi approach to develop recommendations on English-language terminology applicable to pharmacological agents currently approved for treating seizure disorders. There was consensus that these medications should be collectively named "antiseizure medications". This term accurately reflects their primarily symptomatic effect against seizures and reduces the possibility of health care practitioners, patients, or caregivers having undue expectations or an incorrect understanding of the real action of these medications. The term "antiseizure" to describe these agents does not exclude the possibility of beneficial effects on the course of the disease and comorbidities that result from the downstream effects of seizures, whenever these beneficial effects can be explained solely by the suppression of seizure activity. It is acknowledged that other treatments, mostly under development, can exert direct favorable actions on the underlying disease or its progression, by having "antiepileptogenic" or "disease-modifying" effects. A more-refined terminology to describe precisely these actions needs to be developed.

Detalles Bibliográficos
2024
Antiepileptic drugs
Antiseizure medications
Recommendations
Terminology
ANTICONVULSIVANTES
EPILEPSIA
USOS TERAPÉUTICOS
TERAPIA CONDUCTISTA
CUIDADORES
ADMINISTRACIÓN DEL TRATAMIENTO FARMACOLÓGICO
HUMANOS
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/55976
Acceso abierto
Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0)
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author Perucca, Emilio
author2 French, Jacqueline A.
Aljandeel, Ghaieb
Balestrini, Simona
Braga, Patricia
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author_facet Perucca, Emilio
French, Jacqueline A.
Aljandeel, Ghaieb
Balestrini, Simona
Braga, Patricia
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dc.contributor.filiacion.none.fl_str_mv Perucca Emilio, University of Melbourne (Australia). Department of Medicine and Department of Neuroscience
French Jacqueline A., NYU Grossman School of Medicine and NYU Langone Health (E.E.U.U.)
Aljandeel Ghaieb, Iraqi Council for Medical Specializations (Irak). Faculty of Epileptology
Balestrini Simona, Università di Firenze (Italia). Dipartimento di Neuroscienze; UCL Queen Square Institute of Neurology (Reino Unido). Department of Clinical and Experimental Epilepsy
Braga Patricia, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Neurología
dc.creator.none.fl_str_mv Perucca, Emilio
French, Jacqueline A.
Aljandeel, Ghaieb
Balestrini, Simona
Braga, Patricia
dc.date.accessioned.none.fl_str_mv 2026-07-09T15:48:44Z
dc.date.available.none.fl_str_mv 2026-07-09T15:48:44Z
dc.date.issued.none.fl_str_mv 2024
dc.description.abstract.none.fl_txt_mv A variety of terms, such as "antiepileptic," "anticonvulsant," and "antiseizure" have been historically applied to medications for the treatment of seizure disorders. Terminology is important because using terms that do not accurately reflect the action of specific treatments may result in a misunderstanding of their effects and inappropriate use. The present International League Against Epilepsy (ILAE) position paper used a Delphi approach to develop recommendations on English-language terminology applicable to pharmacological agents currently approved for treating seizure disorders. There was consensus that these medications should be collectively named "antiseizure medications". This term accurately reflects their primarily symptomatic effect against seizures and reduces the possibility of health care practitioners, patients, or caregivers having undue expectations or an incorrect understanding of the real action of these medications. The term "antiseizure" to describe these agents does not exclude the possibility of beneficial effects on the course of the disease and comorbidities that result from the downstream effects of seizures, whenever these beneficial effects can be explained solely by the suppression of seizure activity. It is acknowledged that other treatments, mostly under development, can exert direct favorable actions on the underlying disease or its progression, by having "antiepileptogenic" or "disease-modifying" effects. A more-refined terminology to describe precisely these actions needs to be developed.
dc.description.es.fl_txt_mv Emilio Perucca 1 2, Jacqueline A French 3, Ghaieb Aljandeel 4, Simona Balestrini 5 6 7, Patricia Braga 8, Jorge G Burneo 9 10 11, Augustina Charway Felli 12, J Helen Cross 13 14 15, Aristea S Galanopoulou 16, Satish Jain 17, Yuwu Jiang 18 19 20 21 22, Reetta Kälviäinen 23 24, Shih Hui Lim 25 26, Kimford J Meador 27, Zarine Mogal 28, Rima Nabbout 29 30 31 32, Francesca Sofia 33, Ernest Somerville 34, Michael R Sperling 35, Chahnez Triki 36, Eugen Trinka 37 38, Matthew C Walker 7, Samuel Wiebe 39, Jo M Wilmshurst 40, Elaine Wirrell 41, Elza Márcia Yacubian 42, Jaideep Kapur 43 44
Affiliations 1Department of Medicine, The University of Melbourne (Austin Health), Heidelberg, Victoria, Australia. 2Department of Neuroscience, Monash University, Melbourne, Victoria, Australia. 3NYU Grossman School of Medicine and NYU Langone Health, New York, New York, USA. 4Faculty of Epileptology, Iraqi Council for Medical Specializations, Medical City, Baghdad, Iraq. 5Neuroscience Department, Meyer Children's Hospital, Florence, Italy. 6University of Florence, Florence, Italy. 7Department of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, London, UK. 8Institute of Neurology, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay. 9Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. 10Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. 11Neuroepidemiology Unit, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. 1237 Military Hospital, Accra, Ghana. 13Developmental Neurosciences Research and Teaching Department, UCL NIHR BRC Great Ormond Street Institute of Child Health, London, UK. 14Department of Neurology, Great Ormond Street Hospital, London, UK. 15Young Epilepsy, Lingfield, UK. 16Isabelle Rapin Division of Child Neurology, Saul R. Korey Department of Neurology, Dominick P Purpura Department of Neuroscience, Albert Einstein College of Medicine, New York, New York, USA. 17Indian Epilepsy Centre, New Delhi, India. 18Department of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China. 19Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China. 20Beijing Key Laboratory of Molecular Diagnosis and Study on Pediatric Genetic Diseases, Beijing, China. 21Key Laboratory for Neuroscience, Ministry of Education/National Health and Family Planning Commission, Peking University, Beijing, China. 22Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing, China. 23Kuopio Epilepsy Center, Kuopio University Hospital, Kuopio, Finland. 24Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. 25National Neuroscience Institute, Singapore, Singapore. 26Duke-National University of Singapore Medical School, Singapore, Singapore. 27Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Palo Alto, California, USA. 28National Epilepsy Center, Jinnah Postgraduate Medical Center, Karachi, Pakistan. 29Reference Centre for Rare Epilepsies, Department of Pediatric Neurology, Necker-Enfants Malades Hospital, Paris, France. 30Assistance Publique - Hôpitaux de Paris, member of the European Reference Network EpiCARE, Paris, France. 31Institut Imagine - INSERM UMR 1163, Paris, France. 32Université Paris Cité, Paris, France. 33International Bureau for Epilepsy, Dublin, Ireland. 34Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia. 35Department of Neurology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. 36Child Neurology Department, Hedi Chaker University Hospital, LR19ES15, Sfax Medical School, University of Sfax, Sfax, Tunisia. 37Department of Neurology, Neurocritical Care, and Neurorehabilitation, Centre for Cognitive Neuroscience, Christian Doppler University Hospital, Paracelsus Medical University, Salzburg, Austria. 38Department of Public Health, Health Services Research and Health Technology Assessment, UMIT - University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria. 39Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada. 40Department of Pediatric Neurology, Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, Cape Town, South Africa. 41Divisions of Child and Adolescent Neurology and Epilepsy, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA. 42Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil. 43Department of Neurology, University of Virginia, Charlottesville, Virginia, USA. 44UVA Brain Institute, University of Virginia, Charlottesville, Virginia, USA.
dc.format.extent.es.fl_str_mv 9 p.
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dc.identifier.citation.es.fl_str_mv Perucca E, French J, Aljandeel G y otros. Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper. Epilepsia [en línea]. 2024;65(3):533-541
dc.identifier.doi.none.fl_str_mv 10.1111/epi.17877
dc.identifier.eissn.none.fl_str_mv 1528-1167
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12008/55976
dc.language.iso.none.fl_str_mv en
eng
dc.publisher.es.fl_str_mv Munskgaard
dc.relation.none.fl_str_mv Epilepsia. 2024;65(3):533-541
dc.rights.license.none.fl_str_mv Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0)
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.es.fl_str_mv Antiepileptic drugs
Antiseizure medications
Recommendations
Terminology
dc.subject.other.es.fl_str_mv ANTICONVULSIVANTES
EPILEPSIA
USOS TERAPÉUTICOS
TERAPIA CONDUCTISTA
CUIDADORES
ADMINISTRACIÓN DEL TRATAMIENTO FARMACOLÓGICO
HUMANOS
dc.title.none.fl_str_mv Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
dc.type.es.fl_str_mv Artículo
dc.type.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
description Emilio Perucca 1 2, Jacqueline A French 3, Ghaieb Aljandeel 4, Simona Balestrini 5 6 7, Patricia Braga 8, Jorge G Burneo 9 10 11, Augustina Charway Felli 12, J Helen Cross 13 14 15, Aristea S Galanopoulou 16, Satish Jain 17, Yuwu Jiang 18 19 20 21 22, Reetta Kälviäinen 23 24, Shih Hui Lim 25 26, Kimford J Meador 27, Zarine Mogal 28, Rima Nabbout 29 30 31 32, Francesca Sofia 33, Ernest Somerville 34, Michael R Sperling 35, Chahnez Triki 36, Eugen Trinka 37 38, Matthew C Walker 7, Samuel Wiebe 39, Jo M Wilmshurst 40, Elaine Wirrell 41, Elza Márcia Yacubian 42, Jaideep Kapur 43 44
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identifier_str_mv Perucca E, French J, Aljandeel G y otros. Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper. Epilepsia [en línea]. 2024;65(3):533-541
10.1111/epi.17877
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repository.name.fl_str_mv COLIBRI - Universidad de la República
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rights_invalid_str_mv Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0)
spelling Perucca Emilio, University of Melbourne (Australia). Department of Medicine and Department of NeuroscienceFrench Jacqueline A., NYU Grossman School of Medicine and NYU Langone Health (E.E.U.U.)Aljandeel Ghaieb, Iraqi Council for Medical Specializations (Irak). Faculty of EpileptologyBalestrini Simona, Università di Firenze (Italia). Dipartimento di Neuroscienze; UCL Queen Square Institute of Neurology (Reino Unido). Department of Clinical and Experimental EpilepsyBraga Patricia, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Neurología2026-07-09T15:48:44Z2026-07-09T15:48:44Z2024Perucca E, French J, Aljandeel G y otros. Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper. Epilepsia [en línea]. 2024;65(3):533-541https://hdl.handle.net/20.500.12008/5597610.1111/epi.178771528-1167Emilio Perucca 1 2, Jacqueline A French 3, Ghaieb Aljandeel 4, Simona Balestrini 5 6 7, Patricia Braga 8, Jorge G Burneo 9 10 11, Augustina Charway Felli 12, J Helen Cross 13 14 15, Aristea S Galanopoulou 16, Satish Jain 17, Yuwu Jiang 18 19 20 21 22, Reetta Kälviäinen 23 24, Shih Hui Lim 25 26, Kimford J Meador 27, Zarine Mogal 28, Rima Nabbout 29 30 31 32, Francesca Sofia 33, Ernest Somerville 34, Michael R Sperling 35, Chahnez Triki 36, Eugen Trinka 37 38, Matthew C Walker 7, Samuel Wiebe 39, Jo M Wilmshurst 40, Elaine Wirrell 41, Elza Márcia Yacubian 42, Jaideep Kapur 43 44Affiliations 1Department of Medicine, The University of Melbourne (Austin Health), Heidelberg, Victoria, Australia. 2Department of Neuroscience, Monash University, Melbourne, Victoria, Australia. 3NYU Grossman School of Medicine and NYU Langone Health, New York, New York, USA. 4Faculty of Epileptology, Iraqi Council for Medical Specializations, Medical City, Baghdad, Iraq. 5Neuroscience Department, Meyer Children's Hospital, Florence, Italy. 6University of Florence, Florence, Italy. 7Department of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, London, UK. 8Institute of Neurology, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay. 9Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. 10Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. 11Neuroepidemiology Unit, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. 1237 Military Hospital, Accra, Ghana. 13Developmental Neurosciences Research and Teaching Department, UCL NIHR BRC Great Ormond Street Institute of Child Health, London, UK. 14Department of Neurology, Great Ormond Street Hospital, London, UK. 15Young Epilepsy, Lingfield, UK. 16Isabelle Rapin Division of Child Neurology, Saul R. Korey Department of Neurology, Dominick P Purpura Department of Neuroscience, Albert Einstein College of Medicine, New York, New York, USA. 17Indian Epilepsy Centre, New Delhi, India. 18Department of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China. 19Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China. 20Beijing Key Laboratory of Molecular Diagnosis and Study on Pediatric Genetic Diseases, Beijing, China. 21Key Laboratory for Neuroscience, Ministry of Education/National Health and Family Planning Commission, Peking University, Beijing, China. 22Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing, China. 23Kuopio Epilepsy Center, Kuopio University Hospital, Kuopio, Finland. 24Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. 25National Neuroscience Institute, Singapore, Singapore. 26Duke-National University of Singapore Medical School, Singapore, Singapore. 27Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Palo Alto, California, USA. 28National Epilepsy Center, Jinnah Postgraduate Medical Center, Karachi, Pakistan. 29Reference Centre for Rare Epilepsies, Department of Pediatric Neurology, Necker-Enfants Malades Hospital, Paris, France. 30Assistance Publique - Hôpitaux de Paris, member of the European Reference Network EpiCARE, Paris, France. 31Institut Imagine - INSERM UMR 1163, Paris, France. 32Université Paris Cité, Paris, France. 33International Bureau for Epilepsy, Dublin, Ireland. 34Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia. 35Department of Neurology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. 36Child Neurology Department, Hedi Chaker University Hospital, LR19ES15, Sfax Medical School, University of Sfax, Sfax, Tunisia. 37Department of Neurology, Neurocritical Care, and Neurorehabilitation, Centre for Cognitive Neuroscience, Christian Doppler University Hospital, Paracelsus Medical University, Salzburg, Austria. 38Department of Public Health, Health Services Research and Health Technology Assessment, UMIT - University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria. 39Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada. 40Department of Pediatric Neurology, Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, Cape Town, South Africa. 41Divisions of Child and Adolescent Neurology and Epilepsy, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA. 42Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil. 43Department of Neurology, University of Virginia, Charlottesville, Virginia, USA. 44UVA Brain Institute, University of Virginia, Charlottesville, Virginia, USA.A variety of terms, such as "antiepileptic," "anticonvulsant," and "antiseizure" have been historically applied to medications for the treatment of seizure disorders. Terminology is important because using terms that do not accurately reflect the action of specific treatments may result in a misunderstanding of their effects and inappropriate use. The present International League Against Epilepsy (ILAE) position paper used a Delphi approach to develop recommendations on English-language terminology applicable to pharmacological agents currently approved for treating seizure disorders. There was consensus that these medications should be collectively named "antiseizure medications". This term accurately reflects their primarily symptomatic effect against seizures and reduces the possibility of health care practitioners, patients, or caregivers having undue expectations or an incorrect understanding of the real action of these medications. The term "antiseizure" to describe these agents does not exclude the possibility of beneficial effects on the course of the disease and comorbidities that result from the downstream effects of seizures, whenever these beneficial effects can be explained solely by the suppression of seizure activity. It is acknowledged that other treatments, mostly under development, can exert direct favorable actions on the underlying disease or its progression, by having "antiepileptogenic" or "disease-modifying" effects. A more-refined terminology to describe precisely these actions needs to be developed.Submitted by Almiñana María Cecilia (marialminana@gmail.com) on 2026-07-09T14:40:10Z No. of bitstreams: 2 license_rdf: 26648 bytes, checksum: e9507f17d292a045f834ee111e4d098b (MD5) Which terms should be used to describe medications.pdf: 17494257 bytes, checksum: fe0785e82e4d9a374f2cf03d817e6bb4 (MD5)Approved for entry into archive by Almiñana María Cecilia (marialminana@gmail.com) on 2026-07-09T14:41:01Z (GMT) No. of bitstreams: 2 license_rdf: 26648 bytes, checksum: e9507f17d292a045f834ee111e4d098b (MD5) Which terms should be used to describe medications.pdf: 17494257 bytes, checksum: fe0785e82e4d9a374f2cf03d817e6bb4 (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2026-07-09T15:48:44Z (GMT). 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- Universidad de la Repúblicafalse
spellingShingle Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
Perucca, Emilio
Antiepileptic drugs
Antiseizure medications
Recommendations
Terminology
ANTICONVULSIVANTES
EPILEPSIA
USOS TERAPÉUTICOS
TERAPIA CONDUCTISTA
CUIDADORES
ADMINISTRACIÓN DEL TRATAMIENTO FARMACOLÓGICO
HUMANOS
status_str publishedVersion
title Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
title_full Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
title_fullStr Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
title_full_unstemmed Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
title_short Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
title_sort Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper
topic Antiepileptic drugs
Antiseizure medications
Recommendations
Terminology
ANTICONVULSIVANTES
EPILEPSIA
USOS TERAPÉUTICOS
TERAPIA CONDUCTISTA
CUIDADORES
ADMINISTRACIÓN DEL TRATAMIENTO FARMACOLÓGICO
HUMANOS
url https://hdl.handle.net/20.500.12008/55976