Table 1.4

Epileptic seizure types and precipitating stimuli for reflex seizures 3

Self-limited seizure types
 Generalized seizures
  Tonic-clonic seizures (includes variations beginning with a clonic or myoclonic phase)
  Clonic seizures
   Without tonic features
   With tonic features
  Typical absence seizures
  Atypical absence seizures
  Myoclonic absence seizures
  Tonic seizures
  Spasms
  Myoclonic seizures
  Eyelid myoclonia
   Without absences
   With absences
  Myoclonic atonic seizures
  Negative myoclonus
  Atonic seizures
  Reflex seizures in generalized epilepsy syndromes
 Focal seizures
  Focal sensory seizures
   With elementary sensory symptoms (e.g., occipital and parietal lobe seizures)
   With experiential sensory symptoms (e.g., temporo-parieto-occipital junction seizures)
Focal seizures cont.
  Focal motor seizures
   With elementary clonic motor signs
   With asymmetric tonic motor seizures (e.g., supplementary motor seizures)
   With typical (temporal lobe) automatisms (e.g., mesial temporal lobe seizures)
   With hyperkinetic automatisms
   With focal negative myoclonus
   With inhibitory motor seizures
  Gelastic seizures
  Hemiclonic seizures
  Secondarily generalized seizures
  Reflex seizures in focal epilepsy syndromes
Continuous seizure types
 Generalized status epilepticus
  Generalized tonic-clonic status epilepticus
  Clonic status epilepticus
  Absence status epilepticus
  Tonic status epilepticus
  Myoclonic status epilepticus
 Focal status epilepticus
  Epilepsia partialis continua of Kozhevnikov
  Aura continua
  Limbic status epilepticus (psychomotor status)
  Hemiconvulsive status with hemiparesis
Precipitating stimuli for reflex seizures
 Visual stimuli
  Flickering light: colour to be specified when possible
  Patterns
  Other visual stimuli
 Thinking
 Music
 Eating
 Praxis
 Somatosensory
 Proprioceptive
 Reading
 Hot water
 Startle

From Engel (2001)3 with permission of the author and the editor of Epilepsia.

From: Chapter 1, Clinical Aspects of the Diagnosis of Epileptic Seizures and Epileptic Syndromes

Cover of The Epilepsies
The Epilepsies: Seizures, Syndromes and Management.
Panayiotopoulos CP.
Oxfordshire (UK): Bladon Medical Publishing; 2005.
Copyright © 2005, Bladon Medical Publishing, an imprint of Springer Science+Business Media.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.