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Epilepsia
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Epilepsia
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Interrater agreement of classification of photoparoxysmal electroencephalographic response

Authors: Sándor Beniczky; Harald Aurlien; Silvana Franceschetti; Antonio Martins da Silva; Francesca Bisulli; Carla Bentes; Laura Canafoglia; +6 Authors

Interrater agreement of classification of photoparoxysmal electroencephalographic response

Abstract

AbstractOur goal was to assess the interrater agreement (IRA) of photoparoxysmal response (PPR) using the classification proposed by a task force of the International League Against Epilepsy (ILAE), and a simplified classification system proposed by our group. In addition, we evaluated IRA of epileptiform discharges (EDs) and the diagnostic significance of the electroencephalographic (EEG) abnormalities. We used EEG recordings from the European Reference Network (EpiCARE) and Standardized Computer‐based Organized Reporting of EEG (SCORE). Six raters independently scored EEG recordings from 30 patients. We calculated the agreement coefficient (AC) for each feature. IRA of PPR using the classification proposed by the ILAE task force was only fair (AC = 0.38). This improved to a moderate agreement by using the simplified classification (AC = 0.56; P = .004). IRA of EDs was almost perfect (AC = 0.98), and IRA of scoring the diagnostic significance was moderate (AC = 0.51). Our results suggest that the simplified classification of the PPR is suitable for implementation in clinical practice.

Countries
Italy, United Kingdom, Portugal
Keywords

Adult, Male, Neurofibromatosis 1, electroencephalography; epilepsy; epileptiform discharges; intermittent photic stimulation; IRA; SCORE; Adolescent; Adult; Brain; Child; Child, Preschool; Epilepsies, Myoclonic; Epilepsy; Epilepsy, Absence; Female; Humans; Infant; Lafora Disease; Male; Middle Aged; Mitochondrial Encephalomyopathies; Myoclonic Epilepsy, Juvenile; Neurofibromatosis 1; Neuronal Ceroid-Lipofuscinoses; Observer Variation; Photic Stimulation; Photosensitivity Disorders; Reproducibility of Results; Rett Syndrome; Young Adult; Electroencephalography, Adolescent, epileptiform discharges, Epilepsies, Myoclonic, Mitochondrial Encephalomyopathies, Neuronal Ceroid-Lipofuscinoses, SCORE, Humans, Child, Observer Variation, Epilepsy, Myoclonic Epilepsy, Juvenile, Brain, Infant, Epileptiform discharges, Electroencephalography, IRA, Middle Aged, intermittent photic stimulation, Epilepsy, Absence, Lafora Disease, Child, Preschool, Intermittent photic stimulation, epilepsy, Female, electroencephalography

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Top 10%
Average
Top 10%
Green
bronze