UCL Institute of Neurology, University College London, Queen Square, London, UK.
Epilepsia. 2011 Jun;52(6):1052-7. doi: 10.1111/j.1528-1167.2011.03041.x. Epub 2011 Mar 30.
The etiology of epilepsy is a major determinant of clinical course and prognosis, yet the current classifications of epilepsy do not list etiology in any detail. In this article, a classification (database) of the etiologies of epilepsy is proposed. In this scheme, the etiology of epilepsy is divided into four categories: idiopathic, symptomatic, provoked, and cryptogenic. These are defined and subcategories are proposed. A commentary addressing the following points is included: problems associated with assigning causation, symptomatic versus idiopathic epilepsy, focal versus generalized epilepsy, acquired epilepsy, acute symptomatic epilepsy, risk factor analysis, provoked epilepsy genetic and developmental epilepsy, and epilepsy as a disease not a symptom.
癫痫的病因是临床病程和预后的主要决定因素，但目前的癫痫分类并未详细列出病因。本文提出了一种癫痫病因分类（数据库）。在该方案中，癫痫的病因分为四个类别：特发性、症状性、诱发性和隐源性。对这些类别进行了定义并提出了亚类。包括以下内容的评论：与因果关系分配相关的问题、症状性与特发性癫痫、局灶性与全面性癫痫、获得性癫痫、急性症状性癫痫、风险因素分析、诱发性癫痫、遗传和发育性癫痫、以及癫痫作为一种疾病而非一种症状。
