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The 2017 ILAE Classification of Seizures Robert S. Fisher, MD, PhD Maslah Saul MD Professor of Neurology Director, Stanford Epilepsy Center In 2017, the ILAE released a new classification of seizure types, largely based upon the existing classification formulated in 1981. Primary differences include specific listing of certain new focal seizure types that may previously only have been in the generalized category, use of awareness a
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  The 2017 ILAE Classification of Seizures Robert S. Fisher, MD, PhD MaslahSaul MD Professor of NeurologyDirector, Stanford Epilepsy Center In 2017, the ILAE released a new classification of seizure types, largely based upon the existing classification formulated in 1981. Primary differences include specific listing of certain new focal seizure types that may previously only have been in the generalized category, use of awareness as a surrogate for consciousness, emphasis on classifying focal seizures by the first clinical manifestation (except for altered awareness), a few new generalized seizure types, ability to classify some seizures when onset is unknown, and renaming of certain terms to improve clarity of meaning.The attached PowerPoint slide set may be used without need to request permission for any non-commercial educational purpose meeting the usual fair use requirements. Permission from robert.fisher@stanford.edu is however required to use any of the slides in a publication or for commercial use. When using the slides, please attribute them to Fisher et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsiadoi: 10.1111/epi.13671.  Motor Tonic-clonicOther motor Non-Motor (Absence) Unknown Onset MotorNon-Motor focal to bilateral tonic-clonic Generalized OnsetFocal Onset Motor Tonic-clonicOther motor Non-Motor ILAE 2017 Classification of Seizure Types Basic Version 1 Unclassified 2 1 Definitions, other seizure types and descriptors are listed in the accompanying paper & glossary of terms 2 Due to inadequate information or inability to place in other categories Aware Impaired Awareness From Fisher et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsiadoi: 10.1111/epi.13671  Motor tonic-clonicclonictonicmyoclonicmyoclonic-tonic-clonicmyoclonic-atonicatonicepileptic spasms 2 Non-Motor (absence) typicalatypicalmyocloniceyelid myoclonia Unknown Onset Motor Onset automatismsatonic 2 clonicepileptic spasms 2 hyperkineticmyoclonictonic Non-Motor Onset autonomicbehavior arrestcognitive emotional sensory focal to bilateral tonic-clonic Generalized Onset Focal Onset Aware ImpairedAwareness Motor tonic-clonicepileptic spasms Non-Motor behavior arrest ILAE 2017 Classification of Seizure Types Expanded Version 1 Unclassified 3 1 Definitions, other seizure types and descriptors are listed in the accompanying paper and glossary of terms. 2 These could be focal or generalized, with or without alteration of awareness 3 Due to inadequate information or inability to place in other categories From Fisher et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsiadoi: 10.1111/epi.13671  Partial Seizures (start in one place)Simple (no loss of consciousness of memory)SensoryMotorSensory-MotorPsychic (abnormal thoughts or perceptions)Autonomic (heat, nausea, flushing, etc.)Complex (consciousness or memory impaired)With or without aura (warning)With or without automatismsSecondarily generalizedGeneralized Seizures (apparent start over wide areas of brain)Absence (petit mal)Tonic-clonic (grand mal)Atonic (drop seizures)MyoclonicOtherUnclassifiable seizures  Dreifuss et al. Proposal for revised clinical and electroencephalographic classification of epileptic seizures. From the Commission on Classification and Terminology of the International League  Against Epilepsy. Epilepsia. 1981;22:489-501. INTERNATIONAL CLASSIFICATION OF SEIZURES 1981
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