Журнал неврологии и психиатрии, 7, 2017 Наличие современной классификации эпилептиче



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Ключевые слова: эпилепсия, тип эпилептического приступа, классификация, терминология, определения, Международная 
лига по борьбе с эпилепсией.
New classifications of epilepsies and seizure types created by the International League against 
Epilepsy (2017)
E.D. BELOUSOVA
1, 2
, N.N. ZAVADENKO
1
, A.A. KHOLIN
1
, A.A. SHARKOV
2
1
Neurology, Neurosurgery and Medical Genetics Department of Pediatric Faculty, Pirogov Russian National Research Medical University 
of the Russia Ministry of Health, Moscow, Russia; 
2
Department of Psychoneurology and Epileptology, Research and Clincal Institute of 
Pediatrics, Pirogov Russian National Research Medical University of the Russia Ministry of Health, Moscow, Russia
This review presents the recently published revised classifications of epilepsies and seizure types developed by the International 
League Against Epilepsy (ILAE). The Classification of Epilepsies includes several diagnostic levels (steps): 1) from seizure type to 
epilepsy type (generalized/focal/combined generalized and focal/unknown), 2) diagnosis of epilepsy syndrome 3) etiology 
(genetic/ structural/ infectious/ metabolic/ immune/unknown). A clinician can use any level of the classification. Operational 
classification of seizure types is replaced by the previous classification that was grounded on the anatomical basis. Seizures are 
classified by the onset (focal, generalized or unknown). All types of seizures can be motor or non-motor. Focal seizure may evolve 
to bilateral tonic-clonic (previously called secondary-generalized). Atonic, clonic, tonic, myoclonic seizures and epileptic spasms 
can be either of focal or generalized onset. Unclassified type of seizure was introduced. New types of seizures (absence with 
eyelid myoclonia, myoclonic absence, myoclonic atonic and clonic-tonic-clonic seizures) were added. New terminology, 
definitions and some concepts developed by ILAE are presented. 


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