国际抗癫痫联盟新修订发作类型操作性分类的特征及解读

摘要

本文旨在为使用国际抗癫痫联盟(ILAE)2017癫痫发作类型分类提供指南解读,主要框架包括基本版和扩展版分类.根据重要的发作体征和症状,癫痫发作类型主要分为局灶性、全面性及未知起始发作.任何局灶性发作根据知觉保存与否分为知觉清醒与损害性发作;然后又进一步分为运动性与非运动性发作.局灶性发作可能演变成双侧强直-阵挛发作.全面性发作也分为运动性与非运动发作.未知起始发作仍然可分为运动、非运动、强直-阵挛、痫性痉挛或行为终止.%The International League Against Epilepsy (ILAE) 2017 classification of seizure types is introduced to provid guidance on how to employ the classification.The main framework includes basic and extended versions of the classification.Key signs and symptoms of seizures are used as basis for categories of seizures that are focal or generalized from onset or with unknown onset.Any focal seizure optionally characterized by whether awareness is retained or impaired is further divided into a focal awareness seizure and focal impaired awareness seizure.Focal seizures can become bilateral tonic-clonic.Generalized seizures comprise the onset of motor and nonmotor (absence) seizures.Seizures of unknown onset may be classified as motor,nonmotor,tonic-clonic,epileptic sPasms,or behavior arrest.