Okuma Yasuyuki
Department of Neurology, Juntendo University Izu-Nagaoka Hospital.
Rinsho Shinkeigaku. 2004 Nov;44(11):970-4.
Epilepsy is one of the common diseases in neurology. Its correct diagnosis and classification are important for choosing the most appropriate treatment. Currently, Classification of Epileptic Seizures in 1981 and Classification of Epilepsies and Epileptic Syndromes in 1989, both were proposed by International League Against Epilepsy (ILAE), are available. As for Classification of Epilepsies and Epileptic Syndromes, two divisions continue to be widely used to shape the major classes: The first separates epilepsies with generalized seizures (generalized epilepsy) from epilepsies with partial or focal seizures (localization-related, partial or focal epilepsies). The other separates epilepsies of known etiology (symptomatic or secondary epilepsies) from those that are idiopathic (primary) and those that are cryptogenic. In 2001, ILAE Task Force proposed a new classification. However, its daily use has yet been limited. Simple and useful classification will lead to better understanding and more appropriate management of epilepsy.
癫痫是神经科常见疾病之一。其正确的诊断和分类对于选择最合适的治疗方法至关重要。目前,国际抗癫痫联盟(ILAE)于1981年提出的《癫痫发作的分类》和1989年提出的《癫痫和癫痫综合征的分类》均可供使用。至于《癫痫和癫痫综合征的分类》,有两个分类仍被广泛用于划分主要类别:第一个类别将全身性发作的癫痫(全身性癫痫)与部分性或局灶性发作的癫痫(定位相关、部分性或局灶性癫痫)区分开来。另一个类别将已知病因的癫痫(症状性或继发性癫痫)与特发性(原发性)癫痫和隐源性癫痫区分开来。2001年,ILAE特别工作组提出了一种新的分类方法。然而,它的日常使用仍然有限。简单实用的分类将有助于更好地理解癫痫并进行更恰当的管理。