Page 27 - C:\Users\ALAhram\Documents\Flip PDF Professional\
P. 27
International classification of epilepsy
Partial (foal) seizures:
• Focal seizures, without impairment of consciousness( aware) :
-Motor
-Sensory
-Autonomic
• Focal seizures, with impairment of awareness.
• Focal to bilateral tonic clonic seizures.
Generalized seizures:
Absence seizures: Typical absence, Atypical absence
Myoclonic seizures Tonic-clonic seizures
Clonic seizures Atonic seizures
Tonic seizures Infant spasm , tonic-spasm
Absence seizures (petit mal)
Typical (simple):
Sudden cessation of motor activity with blank facial expression and eyelids
flickering with no loss of body tone and no falling down.
May be countless attacks per day, < 30 seconds.
-Hyperventilation (for 3-4 min) provokes an absence attacks.
-EEG: typical 3/sec spike generalized wave discharge.
Complex type: simple with motor component.
Generalized tonic clonic seizures:
It may start generalized or follow a partial seizure with secondary generalization
An aura may be present suggest focal origin: Headache, unpleasant feelings,
chest discomfort .