Journal of the Japan Epilepsy Society
Online ISSN : 1347-5509
Print ISSN : 0912-0890
ISSN-L : 0912-0890
Dissertation
A Critical Review on the ILAE Classification of the Epilepsies, 2017 -A Viewpoint of the Clinical Electroencephalography-
Sadao Ichijoh
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2020 Volume 38 Issue 2 Pages 155-164

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Abstract

The International League Against Epilepsy (ILAE, 1917) presents a revised classification of seizure types. One of the changes includes "partial" i.e., temporal, frontal, parietal, and occipital seizures, that were used in a previous classification, have been grouped together as "focal" seizures. The authors of the second part of the classification (R.S.Fisher et al) mention that epilepsy could be a network disease and not only a symptom of local brain abnormalities, and that seizures could arise in neocortical, thalamocortical, limbic and brainstem networks.

However, for a visual analysis of scalp voltage topography, a neuronal network and the physical laws of electric field theory ( "volume conduction" ) in the brain should be applied. In the limbic system the hippocampus is considered to be important diagnostically. I think discussion on this classification will be continued.

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© 2020 by the Japan Epilepsy Society
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