SONOMA-Epilepsy™ (Subjective and Objective Numerical Outcome Measure Assessment): A Functional Capacity Framework for Epilepsy Management

Epilepsy remains one of the most prevalent neurological conditions worldwide, yet its management often lacks comprehensive tools for functional capacity evaluation. This paper introduces SONOMA-Epilepsy™ (Subjective and Objective Numerical Outcome Measure Assessment), the first integrated framework combining both subjective (patient-reported) and objective (clinician-driven) metrics for epilepsy functional assessment. By documenting seizure frequency, duration, postictal recovery, seizure severity, and medication burden alongside validated subjective scales, SONOMA-Epilepsy™ provides a structured approach to monitoring patient outcomes. This framework establishes a reproducible method for clinical decision-making, functional tracking, and treatment progression, and represents the first formal dissemination of this novel tool.