The Michael Trimble Neuropsychiatry Research Group, Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UK.
Epilepsy Behav. 2012 Feb;23(2):98-102. doi: 10.1016/j.yebeh.2011.11.021. Epub 2012 Jan 10.
A wide range of controversial definitions and dynamic components surround the multi-dimensional concept of consciousness, with important reflections on the phenomenological description of ictal states relevant to epileptic seizures. The inadequacies of terminology, the insufficient emphasis on the subjective nature of consciousness, as well as the intrinsic limitations of the simple versus complex dichotomy for partial seizures, are to be considered in view of a modern definition of consciousness. In this paper, we review the difficulties encountered by clinicians in assessing the ictal conscious state in patients with epilepsy, and illustrate how a more sophisticated bi-dimensional model of consciousness can prove a valuable conceptual tool for the clinical assessment of ictal consciousness and the categorization of seizures.
意识的多维概念周围存在着广泛的有争议的定义和动态组成部分，对与癫痫发作相关的发作状态的现象学描述有重要的反映。在现代意识定义的视角下，需要考虑术语的不足、对意识主观性的重视不够，以及简单与复杂二分法对部分性发作的固有局限性。本文综述了临床医生在评估癫痫患者发作时意识状态时遇到的困难，并说明了更复杂的意识二维模型如何成为评估发作时意识和分类发作的有价值的概念工具。
