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Seizure Classification
Generalized onset seizure
Motor Onset
Tonic-clonic and variants
Tonic
Atonic
Myoclonic
Myoclonic-atonic
Epileptic spasms
Non-Motor Onset
Typical Absence
Atypical Absence
Myoclonic Absence
Absence with Eyelid Myoclonia
Focal Onset Seizure
By Onset Feature
Awareness
Aware
Impaired awareness
Motor Onset
Non-Motor Onset
Sensory
Cognitive
Autonomic
Emotional
Behaviour Arrest
Focal to Bilateral Tonic-Clonic
Hemispheric lateralization
Lobar localization
Frontal
Temporal
Parietal
Occipital
Unknown Onset Seizure
Neonatal Seizure
Epilepsy Classification
Generalized Epilepsy
Focal Epilepsy
Generalized and Focal Epilepsy
Unknown Epilepsy
Epilepsy Syndromes
Neonate/Infant
Self-limited
Self-limited (familial) neonatal epilepsy
Self-limited familial neonatal-infantile epilepsy
Self-limited (familial) infantile epilepsy
Genetic epilepsy with febrile seizures plus spectrum
Myoclonic epilepsy in infancy
With developmental and epileptic encephalopathy
Early-infantile DEE
Epilepsy of infancy with migrating focal seizures
Infantile epileptic spasms syndrome
Dravet syndrome
Childhood
Self-limited focal epilepsy syndromes
Remission expected in all cases by adolescence
Self-limited epilepsy with centrotemporal spikes
Self-limited epilepsy with autonomic seizures
Remission expected in most cases by adolescence
Childhood occipital visual epilepsy
Photosensitive occipital lobe epilepsy
Genetic generalised epilepsy syndromes
Epilepsy with eyelid myoclonia
Epilepsy with myoclonic absence
Idiopathic generalised epilepsy syndrome
Childhood absence epilepsy
With developmental and/or epileptic encephalopathy
Epilepsy with myoclonic atonic seizures
Lennox-Gastaut syndrome
Developmental and/or epileptic encephalopathy with spike-wave activation in sleep
Febrile infection-related epilepsy syndrome
Hemiconvulsion-hemiplegia-epilepsy syndrome
Variable Age
Idiopathic generalised epilepsy syndromes
Juvenile myoclonic epilepsy
Juvenile absence epilepsy
Epilepsy with generalized tonic-clonic seizures alone
Focal epilepsy syndromes
Sleep-related hypermotor (hyperkinetic) epilepsy
Familial mesial temporal lobe epilepsy
Epilepsy with auditory features
Familial focal epilepsy with variable foci
Combined generalised and focal epilepsy syndrome
Epilepsy with reading-induced seizures
With developmental and/or epileptic encephalopathy or progressive neurological deterioration
Progressive myoclonus epilepsies
Rasmussen syndrome
Epilepsy Etiologies
Genetic Etiologies
Chromosomal abnormalities
Gene abnormalities
Structural Etiologies
Malformations of cortical development
Overview
Focal cortical dysplasia
Tuberous sclerosis
Lissencephaly
Subcortical band heterotopia
Grey matter heterotopia
Polymicrogyria
Hemimegalencephaly
Schizencephaly
Hypothalamic hamartoma
Vascular malformations
Overview
Cerebral angioma
Sturge-Weber syndrome
Arteriovenous malformation
Hippocampal sclerosis
Hypoxic-Ischemic
Overview
Stroke
Hypoxic-Ischemic injury
Traumatic brain injury
Tumors
Overview
DNET
Ganglioglioma
Porencephalic Cyst
Metabolic Etiologies
Immune Etiologies
Infectious Etiologies
Unknown Etiologies
Encephalopathy
Epilepsy imitators
SELF-LIMITED EPILEPSY WITH CENTROTEMPORAL SPIKES (SeLECTS)
Clinical Overview
Seizures
EEG
Imaging
Genetics
Diagnostic Criteria
Differential diagnoses
Focal seizures
due to
structural brain abnormality
Developmental and/or epileptic encephalopathy with spike-wave activation in sleep
- if there is cognitive, psychiatric, behavioural and/or motor regression
Centrotemporal discharges can be seen in certain neurodevelopmental disorders (e.g. Fragile X) but the typical clinical seizures of this syndrome are not seen