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Additionally, this system did not accommodate the rapidly growing knowledge in the field and did not differentiate between wellaccepted and controversial syndromes 9, Additionally, the system accommodated didactic grouping purposes but was not helpful in clinical practice: a working diagnosis is usually assigned first and subsequently etiologies are explored. A final diagnosis and classification was frequently not possible before workup was completed. Axis 2 was based on a list of accepted epileptic seizure types constructed by the task force. Axis 3 identified the epilepsy syndrome diagnosis and separated epilepsy syndromes from entities with epileptic seizures. Epilepsy syndromes were divided into syndromes in development and fully characterized syndromes Axis 4 delineated the etiology of epilepsies, which included pathologic and genetic causes as well as diseases frequently associated with epilepsy and this list was a work in progress at the time of publication.

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