Seizure classification: Difference between revisions
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==Overview== | ==Overview== | ||
In 2017, the [[International League Against Epilepsy]] (ILAE) classified [[seizures]] by their 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. | 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 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> | |||
*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="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> | In 1981, the [[International League Against Epilepsy]] (ILAE) classified epileptic [[seizure]]s as:<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) | ||
| Line 20: | Line 63: | ||
** [[Atonic seizure]]s | ** [[Atonic seizure]]s | ||
* Unclassified epileptic seizures | * Unclassified epileptic seizures | ||
==References== | ==References== | ||
Revision as of 20:10, 5 November 2020
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Seizure Microchapters |
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Seizure classification On the Web |
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Risk calculators and risk factors for Seizure classification |
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 seizures by their 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]
- Focal (aware/impaired awareness)
- Motor
- Automatisms
- Atonic
- Clonic
- Epileptic spasm
- Hyperkinetic
- Myoclonic
- Tonic
- Nonmotor
- Focal to bilateral tonic-clonic seizures
- Motor
- Generalized
- Motor
- Tonic-clonic
- Clonic
- Tonic
- Myoclonic
- Myoclonic-tonic-clonic
- Myoclonic-atonic
- Atonia
- Epileptic spasm
- Nonmotor (absence)
- Motor
- Unknown
- Motor
- Tonic-clonic
- Epileptic Spasm
- Nonmotor
- Behavior arrest
- Unclassified
- Motor
In 1981, the International League Against Epilepsy (ILAE) classified epileptic seizures as:[2]
- 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
- Absence seizures
- Myoclonic seizures
- Clonic seizures
- Tonic seizures
- Tonic-clonic seizures (Grand mal)
- Atonic seizures
- 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.
- ↑ "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.