Epileptic Seizures

Classification of Epileptic Seizures according to clinical type*
1. Partial (focal,local) seizures
   1.1 Simple partial seizures (consiousness not impaired)
         1.1.1. With motor signs
1.1.2. With somatosensory or special-sensory symptoms (simple hallucinations, for example, tingling, lightflashes,buzzing)
1.1.3. With autonomic symptoms or signs (for example, epigastric sensation, pallor, sweating, flushing, piloerection and papillary dilatation)
1.1.4. With psychic symptoms (disturbance of higher cerebral function) (for example, deja vu, distortion of time sense, fear. Please note these rarely occur without impairment of consiousness and are much more commonly experienced as complex partial seizures

   1.2. Complex partial seizures (with impairment of consiousness)
1.2.1. With simple partial onset followed by impairment of consiousness
1.2.2.   With impairment of consiousness at onset

   1.3. Partial seizures evolving to secondarily generalized seizures (may be generalized tonic-clonic,tonic,or clonic)
         1.3.1. Simple partial seizures evolving to generalized seizure
         1.3.2. Complex partial seizures evolving to generalized seizures
1.3.3. Simple partial seizures evolving to complex partial seizures and then evolving to generalized seizures


2. Generalized seizures (convulsive or non-conculsive)
   2.1 Absense seizures : (impairment of consiousness alone or with : mild clonic, atonic or tonic components, automatisms and/or autonomic symptoms or signs)
   2.2. Atypical absence
   2.3. Myoclonic seizures
   2.4. Clonic seizures
   2.5. Tonic-clonic seizures
   2.6. Atonic seizures

3. Unclassified seizures
Modified from : *Proposal for revised clinical and electroencephalograhic classification of epileptic seizures. Commission on Classification and Terminology of the International League Against Epilepsy. Epilesia 1981;22:489-501.

 
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