Table 2 Phenotype reporting recommendations for unprovoked seizures/epilepsy in individuals with newly described multisystem and/or neurodevelopmental Mendelian disorders (PHELIX_Epilepsy version 1.0)
From: Consensus reporting guidelines to address gaps in descriptions of ultra-rare genetic conditions
Phenotype subcategory | Recommendation category | Specific recommendation for inclusion in report |
|---|---|---|
1. Epilepsy syndrome and severity | Strongly recommended | i. Seizure type(s) (per ILAE) ii.Age at seizure onset iii. EEG findings (including age(s) at time of study) iv. Epilepsy syndrome(s) (per ILAE) v. Findings that support the diagnosis of the epilepsy syndrome(s) (e.g. specific EEG findings) vi. Seizure frequency at last clinical assessment vii. Qualifiers of overall epilepsy severity (e.g. severe; treatment-refractory) |
Optional, but encouraged | viii. Clarification if EEG data were directly reviewed by members of the study team (versus only report details extracted from medical record) ix. Number of seizures requiring hospitalization in specific timeframe (e.g. last year) | |
2. Pharmacological interventions | Strongly recommended | i. Current and past medication name(s) ii. Perceived impact on seizure control |
Optional, but encouraged | iii. Dose iv. Duration of treatment trial v. Adverse effects/events due to the intervention | |
3. Non-pharmacological interventions | Strongly recommended | i. Intervention/procedure details (e.g. ketogenic diet, neurosurgery) ii. Perceived impact on seizure control |
Optional, but encouraged | iii. Adverse effects/events due to the intervention | |
4. Brain imaging findings | Strongly recommended | i. Brain imaging findings (including age(s) at time of study) |
Optional, but encouraged | ii. Clarification if brain imaging data were directly reviewed by members of the study team (versus only report details extracted from medical record) | |
5. Other | Optional, but encouraged | i. Narrative summary of the progression of the individual’s seizure(s)/epilepsy phenotype over time ii. Narrative summary of the progression of the individual’s non-epilepsy phenotype over time (e.g. see PHELIX_General guidelines) |