Epilepsy is a common Chronic neurological disorder that is characterized by recurrent unprovoked seizures.  These seizures are transient signs and/or symptoms due to abnormal,             excessive or synchronous neuronal activity in the brain. About 50 million people worldwide have epilepsy at any one time. Epilepsy is usually controlled, but not cured, with medication, although surgery may be considered in difficult cases.  However, over 30% of people with     epilepsy do not have seizure control even with the best available medications. Not all epilepsy syndromes are life long – some forms are confined to particular stages of childhood. Epilepsy should not be understood as a single disorder, but rather as a group of syndromes with vastly divergent symptoms but all involving episodic abnormal electrical activity in the brain

Classification

Epilepsies are classified in five ways:

1. By their first cause (or etiology).

2. By the observable manifestations of the seizures, known as semiology.

3. By the location in the brain where the seizures originate.

4. As a part of discrete, identifiable medical syndromes.

5. By the event that triggers the seizures, as in primary reading epilepsy.

 

In 1981, the International League against Epilepsy (ILAE) proposed a classification scheme for individual seizures that remains in common use.  This classification is based on observation (clinical and EEG) rather than the underlying pathophysiology or anatomy and is outlined later on in this article. In 1989, the ILAE proposed a classification scheme for epilepsies and epileptic syndromes.  This can be broadly described as a two-axis scheme having the cause on one axis and the extent of localization within the brain on the other. Since 1997, the ILAE have been working on a new scheme that has five axes:                                   ictal phenomenon, seizure type, syndrome, etiology and impairment.

 

 

 

 

 

 

 

 

 

 

 

 

 

What Is Epilepsy?