Liyanagedera S, Williams R P
RM Bracewell, Walton Centre NHS Foundation Trust, Liverpool L9 7LJ, UK. Email:
J R Coll Physicians Edinb. 2017 Dec;47(4):336-338. doi: 10.4997/JRCPE.2017.406.
The International League Against Epilepsy Classification of the Epilepsies, first presented in 1981, has been widely adopted across the globe. In 2017 it was revised to allow for more robust, specific, flexible and logical classification of seizures. A number of new seizure types are recognised. Classification should be timely as it plays a vital role in the diagnosis and management of patients with epilepsy. Accurate classification also underpins epilepsy research from pathophysiology to public health. Here we review the basic and extended forms of the classification. Semiology (symptoms and signs) is used as the foundation for grouping seizures under focal, generalised or of unknown onset. Focal seizures can be further classified by the presence or absence of awareness and motor signs. Generalised seizures engage bilateral networks from the onset and these can be either motor or non-motor. Seizures of unknown onset can be classified as motor, non-motor, tonic-clonic, epileptic spasms, or behaviour arrest.
国际抗癫痫联盟癫痫分类法于1981年首次提出，已在全球广泛采用。2017年对其进行了修订，以便对发作进行更有力、具体、灵活和合理的分类。识别出了一些新的发作类型。分类应及时进行，因为它在癫痫患者的诊断和管理中起着至关重要的作用。准确的分类也是从病理生理学到公共卫生等癫痫研究的基础。在此，我们回顾该分类法的基本形式和扩展形式。症状学（症状和体征）用作将发作分为局灶性、全身性或发作起始不明的基础。局灶性发作可根据意识和运动体征的有无进一步分类。全身性发作从发作开始就涉及双侧神经网络，这些发作可以是运动性的或非运动性的。发作起始不明的发作可分类为运动性、非运动性、强直阵挛性、癫痫性痉挛或行为中止。
