Epilepsy classification: Difference between revisions

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{{CMG}} {{AE}} {{VVS}} {{Fs}}
{{CMG}} {{AE}} {{VVS}} {{Fs}}
==Classification==
==Classification==
* Epilepsy may be classified according to:
* Epilepsy may be classified according to seizure type into:
** By their first cause (or [[etiology]]).
** Generalized epilepsy
** By the observable manifestations of the [[Seizure|seizures]], known as semiology.
** Focal epilepsy
** By the location in the [[brain]] where the [[Seizure|seizures]] originate.
** Generalized and focal epilepsy
** As a part of discrete, identifiable medical [[syndrome]]s.
** Unknown if generalized or focal epilepsy
** By the event that triggers the [[Seizure|seizures]], as in primary reading epilepsy.
 
* In 1981, the International League Against Epilepsy (ILAE) proposed a classification scheme for individual [[Seizure|seizures]] that remains in common use.<ref name="ILEA1981">{{cite journal
| author =
| title = Proposal for revised clinical and electroencephalographic classification of epileptic seizures. From the Commission on Classification and Terminology of the International League Against Epilepsy.
| journal = Epilepsia
| volume = 22
| issue = 4
| pages = 489-501
| year = 1981
| id = PMID 6790275}}</ref> This classification is based on observation (clinical and [[EEG]]) rather than the underlying [[pathophysiology]] or [[anatomy]] and is outlined later on in this article. In 1989, the ILAE proposed a classification scheme for epilepsy and epileptic syndromes.<ref name="ILEA1989">{{cite journal
| author =
| title = Proposal for revised classification of epilepsies and epileptic syndromes. Commission on Classification and Terminology of the International League Against Epilepsy.
| journal = Epilepsia
| volume = 30
| issue = 4
| pages = 389-99
| year =1989
| id = PMID 2502382}}</ref> This can be broadly described as a two-axis scheme having the cause on one axis and the extent of localization within the [[brain]] on the other. Since 1997, the ILAE have been working on a new scheme that has five axes: Ictal phenomenon, [[seizure]] type, [[syndrome]], [[etiology]] and impairment.<ref name="ILAE">{{cite web
| url = http://www.ilae-epilepsy.org/Visitors/Centre/ctf/overview.cfm
| title = A Proposed Diagnostic Scheme For People With Epileptic Seizures And With Epilepsy: Report Of The Ilae Task Force On Classification And Terminology
| accessdate = 2006-07-18
| author = Jerome Engel
| publisher = ILAE
}}</ref>
 
 


==References==
==References==

Revision as of 18:48, 6 December 2018

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Classification

  • Epilepsy may be classified according to seizure type into:
    • Generalized epilepsy
    • Focal epilepsy
    • Generalized and focal epilepsy
    • Unknown if generalized or focal epilepsy

References

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