This study is based on 156 cases with grand mal epilepsies, which have shown more than five times of attacks during the period over one year after the first attack, and which were observed at our department for the last six years. These 156 cases were classified into the three groups, i. e. “awakening”, “sleep” and “diffuse” epilepsies, according to the Janz' classification. The 51 cases (33%) out of them were awakening epilepsies with attacks only while waking, the 55 cases (35%) were sleep epilepsies with seizures mainly after falling asleep and/or before waking in the morning, and the 50 cases (32%) were diffuse epilepsies with attacks occuring while waking as well as sleeping without particular regularities. This report consists of the surveys of the ages at the onset, the etiology, the com bination with other types of minor attacks, the frequencies of the attacks, the precipitating factors, the abnormalities of the neurological examination, the mental disturbances, the characters, the EEG-findings, and the effects of the anticonvulsant for the three groups and the relevant discussions. It was suggested that the awakening epilepsy is a prototy pe of the genuine epilepsy, the diffuse epilepsy is that of the symptomatic one, and the sleep epilepsy is the intermediate between them.
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