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To the Editor: The excellent recent article by Reutens and Berkovic [1] highlighted a few important issues in clinical epileptology. The authors rightly point out, as others have, [2-4] that the syndromic approach to the epilepsies should be used to facilitate clinical management. However, the classification of epilepsies and epileptic syndromes [5] is only rarely used, to the detriment of the classification of seizures, [6] which is used almost universally. This results in patient management that is based on symptom type rather than on …
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