Page 11 - ILAE_Lectures_2015

Table 2. Proposed new ILAE classification scheme

Generalised seizures
Tonic-clonic (in any combination)
Absence
Typical
Atypical
Absence with special features
Myoclonic absence
Eyelid myoclonia
Myoclonic
Myoclonic
Myoclonic atonic
Myoclonic tonic
Clonic
Tonic
Atonic

Focal seizures
Without impairment of consciousness or awareness
With observable motor or autonomic components
– ‘Focal motor’ and ‘autonomic’ can be used
Involving subjective sensory or psychic phenomena only
– ‘aura’ can also be used
Replaces term ‘simple partial seizure’

With impairment of consciousness or awareness
‘Dyscognitive’ can also be used.
It is understood that dyscognitive may not always mean altered awareness
but it is used here to denote altered consciousness or awareness which may
be response tested
Replaces term ‘complex partial seizure’

Evolving to a bilateral convulsive seizure
May include tonic, clonic or tonic and clonic components in any order
Replaces term ‘secondarily generalised seizure’

Unknown
Epileptic spasms

Continuous seizure types
Generalised status epilepticus
Generalised tonic-clonic status epilepticus
Clonic status epilepticus
Absence status epilepticus
Tonic status epilepticus
Myoclonic status epilepticus

Focal status epilepticus
Epilepsia partialis continua of Kojevnikov
Aura continua
Limbic status epilepticus (psychomotor status)
Hemiconvulsive status with hemiparesis