Medicus, Vol. 28 No. 1 Neurologija, 2019.
Review article
Classification of Epilepsy
Željka Petelin - Gadže
Abstract
Epilepsy is one of the most common neurological diseases, i.e. a brain disorder characterized by a permanent predisposition to generate epileptic seizures, leading to neurobiological, cognitive, psychological, and social consequences of that condition. In recent years we have seen a considerable expansion of our understanding of etiology and patophysiology of this disease, primarily as a result of the improvement of diagnostic neuroimaging methods and molecular genetic tests. When making an accurate diagnosis and choosing an adequate treatment algorithm, determination of clinical semiology of epileptic seizures and classification of epilepsy or epileptic syndrome are essential. Until recently, epileptic seizures had been classified according to the simplified version representing a classification of electro-clinical features that was made by ILAE (International League Against Epilepsy) in 1981 and 1989. In 2010, ILAE proposed that the classification be revised in accordance with the new concept of understanding epilepsy as a brain network disorder, as well as that the terminology be changed. Consequently, a new operational (practical) classification of epileptic seizures was presented in 2017. The latter classification does not indicate any fundamental changes, but allows greater flexibility and transparency in the designation of types of epileptic seizures. In view of the new terminology and classification of epilepsy according to the ILAE guidelines, this paper proposes the Croatian terminology of the classification of epilepsy.
Keywords
epilepsy; classification; diagnosis
Hrčak ID:
216806
URI
Publication date:
6.2.2019.
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