Seizure classification: Difference between revisions
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==Overview== | ==Overview== | ||
In 1981, the [[International League Against Epilepsy]] (ILAE) classified epileptic [[ | In 2017, the [[International League Against Epilepsy]] (ILAE) classified [[seizure]] by its onsets as focal (aware/impaired awareness, motor, nonmotor, focal to tonic-clonic seizures), generalized (motor, nonmotor), and unknown (motor, nonmotor, and unclassified). In 1981, the [[International League Against Epilepsy]] (ILAE) classified epileptic [[seizures]] as [[Focal seizures|partial seizures]] ([[simple partial seizure]]s, [[complex partial seizure]]s, and [[partial seizures]] evolving to secondarily [[generalized seizures]]), [[Generalised epilepsy|generalized seizures]] ([[absence seizure]]s, [[myoclonic seizure]]s, [[clonic seizure]]s, [[Tonic |tonic]] seizures, [[tonic-clonic seizure]]s (grand mal), and [[atonic seizure]]s), and unclassified [[epileptic seizures]]. | ||
==Classification== | ==Classification== | ||
In 1981, the [[International League Against Epilepsy]] (ILAE) classified | '''In 2017, the [[International League Against Epilepsy]] (ILAE) classified seizures by their onsets as:'''<ref name="FisherCross2017">{{cite journal|last1=Fisher|first1=Robert S.|last2=Cross|first2=J. Helen|last3=D'Souza|first3=Carol|last4=French|first4=Jacqueline A.|last5=Haut|first5=Sheryl R.|last6=Higurashi|first6=Norimichi|last7=Hirsch|first7=Edouard|last8=Jansen|first8=Floor E.|last9=Lagae|first9=Lieven|last10=Moshé|first10=Solomon L.|last11=Peltola|first11=Jukka|last12=Roulet Perez|first12=Eliane|last13=Scheffer|first13=Ingrid E.|last14=Schulze-Bonhage|first14=Andreas|last15=Somerville|first15=Ernest|last16=Sperling|first16=Michael|last17=Yacubian|first17=Elza Márcia|last18=Zuberi|first18=Sameer M.|title=Instruction manual for the ILAE 2017 operational classification of seizure types|journal=Epilepsia|volume=58|issue=4|year=2017|pages=531–542|issn=00139580|doi=10.1111/epi.13671}}</ref><ref name="pmid26033084">{{cite journal| author=Stafstrom CE, Carmant L| title=Seizures and epilepsy: an overview for neuroscientists. | journal=Cold Spring Harb Perspect Med | year= 2015 | volume= 5 | issue= 6 | pages= | pmid=26033084 | doi=10.1101/cshperspect.a022426 | pmc=4448698 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26033084 }} </ref> | ||
*Focal (aware/impaired awareness) | |||
** Motor | |||
*** [[Automatisms]] | |||
*** [[Atonic]] | |||
*** [[Clonic]] | |||
*** [[Epileptic]] [[spasm]] | |||
*** [[Hyperkinetic]] | |||
*** [[Myoclonic]] | |||
*** [[Tonic]] | |||
** Nonmotor | |||
*** [[Autonomic]] | |||
*** [[Behavior]] arrest | |||
*** [[Cognitive]] | |||
*** [[Emotional]] | |||
*** [[Sensory]] | |||
** Focal to [[bilateral]] [[tonic-clonic]] seizures | |||
* Generalized | |||
** Motor | |||
*** [[Tonic-clonic]] | |||
*** [[Clonic]] | |||
*** [[Tonic]] | |||
*** [[Myoclonic]] | |||
*** [[Myoclonic-tonic-clonic]] | |||
*** [[Myoclonic-atonic]] | |||
*** [[Atonia]] | |||
*** [[Epileptic]] [[spasm]] | |||
** Nonmotor (absence) | |||
*** Typical | |||
*** Atypical | |||
*** [[Myoclonic]] | |||
*** [[Eyelid]] [[myoclonia]] | |||
*Unknown | |||
** Motor | |||
*** [[Tonic-clonic]] | |||
*** [[Epileptic]] [[Spasm]] | |||
** Nonmotor | |||
*** [[Behavior]] arrest | |||
** Unclassified | |||
'''In 1981, the [[International League Against Epilepsy]] (ILAE) classified [[epileptic seizure]]s as:'''<ref name="pmid26033084">{{cite journal| author=Stafstrom CE, Carmant L| title=Seizures and epilepsy: an overview for neuroscientists. | journal=Cold Spring Harb Perspect Med | year= 2015 | volume= 5 | issue= 6 | pages= | pmid=26033084 | doi=10.1101/cshperspect.a022426 | pmc=4448698 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26033084 }} </ref><ref name="pmid6790275">{{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 | year= 1981 | volume= 22 | issue= 4 | pages= 489-501 | pmid=6790275 | doi=10.1111/j.1528-1157.1981.tb06159.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6790275 }} </ref> | |||
* [[Focal seizures|Partial seizures]] (focal, local) | * [[Focal seizures|Partial seizures]] (focal, local) | ||
** [[Simple partial seizure]]s - consciousness is not impaired | ** [[Simple partial seizure]]s - [[consciousness]] is not impaired | ||
** [[Complex partial seizure]]s - consciousness is impaired (temporal lobe or psychomotor seizures) | ** [[Complex partial seizure]]s - [[consciousness]] is impaired ([[temporal lobe]] or [[psychomotor]] seizures) | ||
** [[Partial seizures]] evolving to secondarily [[generalized seizures]] | ** [[Partial seizures]] evolving to secondarily [[generalized seizures]] | ||
* [[Generalised epilepsy|Generalized seizures]] - initial involvement of both hemispheres, consciousness may be impaired | * [[Generalised epilepsy|Generalized seizures]] - initial involvement of both [[hemispheres]], [[consciousness]] may be impaired | ||
** [[Absence seizure]]s | ** [[Absence seizure]]s | ||
** [[Myoclonic seizure]]s | ** [[Myoclonic seizure]]s | ||
** [[Clonic seizure]]s | ** [[Clonic seizure]]s | ||
** [[Tonic |Tonic]] seizures | ** [[Tonic |Tonic]] seizures | ||
** [[Tonic-clonic seizure]]s (Grand mal) | ** [[Tonic-clonic seizure]]s ([[Grand mal]]) | ||
** [[Atonic seizure]]s | ** [[Atonic seizure]]s | ||
* Unclassified epileptic seizures | * Unclassified [[epileptic seizures]] | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Epilepsy]] | [[Category:Epilepsy]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Latest revision as of 14:12, 12 April 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
In 2017, the International League Against Epilepsy (ILAE) classified seizure by its onsets as focal (aware/impaired awareness, motor, nonmotor, focal to tonic-clonic seizures), generalized (motor, nonmotor), and unknown (motor, nonmotor, and unclassified). In 1981, the International League Against Epilepsy (ILAE) classified epileptic seizures as partial seizures (simple partial seizures, complex partial seizures, and partial seizures evolving to secondarily generalized seizures), generalized seizures (absence seizures, myoclonic seizures, clonic seizures, tonic seizures, tonic-clonic seizures (grand mal), and atonic seizures), and unclassified epileptic seizures.
Classification
In 2017, the International League Against Epilepsy (ILAE) classified seizures by their onsets as:[1][2]
- Focal (aware/impaired awareness)
- Motor
- Nonmotor
- Focal to bilateral tonic-clonic seizures
- Generalized
- Motor
- Nonmotor (absence)
- Unknown
- Motor
- Nonmotor
- Behavior arrest
- Unclassified
In 1981, the International League Against Epilepsy (ILAE) classified epileptic seizures as:[2][3]
- Partial seizures (focal, local)
- Simple partial seizures - consciousness is not impaired
- Complex partial seizures - consciousness is impaired (temporal lobe or psychomotor seizures)
- Partial seizures evolving to secondarily generalized seizures
- Generalized seizures - initial involvement of both hemispheres, consciousness may be impaired
- Unclassified epileptic seizures
References
- ↑ Fisher, Robert S.; Cross, J. Helen; D'Souza, Carol; French, Jacqueline A.; Haut, Sheryl R.; Higurashi, Norimichi; Hirsch, Edouard; Jansen, Floor E.; Lagae, Lieven; Moshé, Solomon L.; Peltola, Jukka; Roulet Perez, Eliane; Scheffer, Ingrid E.; Schulze-Bonhage, Andreas; Somerville, Ernest; Sperling, Michael; Yacubian, Elza Márcia; Zuberi, Sameer M. (2017). "Instruction manual for the ILAE 2017 operational classification of seizure types". Epilepsia. 58 (4): 531–542. doi:10.1111/epi.13671. ISSN 0013-9580.
- ↑ 2.0 2.1 Stafstrom CE, Carmant L (2015). "Seizures and epilepsy: an overview for neuroscientists". Cold Spring Harb Perspect Med. 5 (6). doi:10.1101/cshperspect.a022426. PMC 4448698. PMID 26033084.
- ↑ "Proposal for revised clinical and electroencephalographic classification of epileptic seizures. From the Commission on Classification and Terminology of the International League Against Epilepsy". Epilepsia. 22 (4): 489–501. 1981. doi:10.1111/j.1528-1157.1981.tb06159.x. PMID 6790275.