Clinical presentation and course
According to the leading clinical grounds, being considered a mainly practical purposes, you can set the following main forms of epileptic seizures.
Motor seizures. 1. Total seizures. 2. Partial (Jacksonian) seizures with various manifestations of the defeat of one or another cortical motor zone (more localized and more common cramp, stop speech, isolated deviation of the eyes). 3. Tonic postural seizures (tonic subcortical seizures, phenomena functional decerebrati, mesencephalon seizures and so on).
Sensitive seizures. 1. Fits with the presence of the aura by skin-muscular cortical analyzer (parestesia - crawling, tingling, feeling of movement, but without the motor effect). 2. "Visual" seizures (cortical epileptogenic zone - visual analyzer). 3. Hearing seizures (cortical epileptogenic zone - auditory analyzer). 4. "Smell" and less "taste" seizures (cortical epileptogenic zone covers olfactory and gustatory analyzers), O. Seizures in the form of dizziness (vertigo epileptica), isolated or in combination with hearing aura, etc., 6. Actually reflex epilepsy arising in certain circumstances when there is a long afferent irritation (skin-muscular scar, a foreign body in the ear, polyps in the nose, plaster bandages, pain complexes, associated with the gall bladder, urinary ways, and so on).
Seizures with visceral manifestations (with epigastric-abdominal aura, heart aura, the aura in the form of hunger, thirst, vasomotor aura, diencephalic epilepsy) as a more independent (or leading) attacks.
Complex sensitive musculoskeletal type of attack with turns (adversive seizures that begin with hearing, visual sensations, dizziness, and so on).
Mnogofotonnaya epilepsy - seizures consistently captures several epileptogenic zones or the initial phase of seizures appears periodically with different foci.
Small seizures (petit mal), microlepia, other options and abortifacient forms, various automation - pripotocni and poslepechatnye ("chewing" seizures, loss of consciousness, epilepsia procursive, rotatoria, and so on), mental equivalents with outpatient automaticity, fits of laughter as the equivalent of the total of seizures in so
The group kind of seizures with predominantly temporal localization (Jackson, S. N. Davidenkov) or with damage to neighbouring areas. These include: the aura in the form of olfactory, gustatory, auditory hallucinations, rarely vestibular and visual (often combined), a kind of change of consciousness (feeling already seen or sense of otherness of the environment, its unreality, or rather the feeling never seen) with unmotivated anxiety and fear, sometimes micropsia, macropsia, metamorphopsia. Often this speech violations of dysphasia (especially when left defeat) and dreamlike state, which is accompanied by automatic movement, attack long epileptic sleep. On a special frequency (about 40%) temporal epilepsy indicate M. I. Astvatsaturov, I. Ya. Razdolsky, M. Y. Rapoport, H. M Needing.
Combined seizures of large (common), and small epilepsy.
Long epilepticus status epilepticus).
The conditioned reflex epilepsy (in a narrow sense).
Organo-hysterical combinations (for example, a nervous and hysterical attacks in the same patient).
The international League against epilepsy in 1965 (Vienna) was adopted rather complicated classification, based on clinical type of seizures (partial motor, sensitive, and so on, generalized - General seizures, small seizures, hemageneralpanel), their localization (meso - or diencephalic), electroencephalographic changes in pripotocni and megprobalja periods, the presumed etiology and age peculiarities.