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===Classification=== [[File:ILAE classification of seizure types 2017.png|thumb|Revised operational scheme of seizure classification, ILAE, 2017]] Once epilepsy is diagnosed, the [[International League Against Epilepsy|ILAE]] recommends a three-level framework to guide further classification and management:<ref name="Scheffer2017" /> * Identify the seizure type, based on clinical features and EEG (e.g., focal aware seizure, generalized absence) * Determine the epilepsy type, such as focal, generalized, combined, or unknown * Identify an epilepsy syndrome, if applicable Not all levels can always be determined; in some cases, only the seizure type is identifiable. The etiology — whether structural, genetic, infectious, metabolic, immune, or unknown — should be considered at each stage of classification, as it often influences treatment and prognosis.<ref name="2011rec">{{cite journal |vauthors=Shorvon SD |date=June 2011 |title=The etiologic classification of epilepsy |journal=Epilepsia |volume=52 |issue=6 |pages=1052–1057 |doi=10.1111/j.1528-1167.2011.03041.x |pmid=21449936 |doi-access=free}}</ref><ref name="Scheffer2017" /> The classification of epilepsies has evolved significantly over time.<ref name="ILEA1989">{{cite journal |vauthors= |year=1989 |title=Proposal for revised classification of epilepsies and epileptic syndromes. Commission on Classification and Terminology of the International League Against Epilepsy |journal=Epilepsia |volume=30 |issue=4 |pages=389–399 |doi=10.1111/j.1528-1157.1989.tb05316.x |pmid=2502382}}</ref> Earlier systems emphasized seizure location and used terms such as “partial” or “cryptogenic,” which have been replaced in the modern framework.<ref>{{cite journal |vauthors=Engel J |date=August 2006 |title=ILAE classification of epilepsy syndromes |journal=Epilepsy Research |volume=70 |issue=Suppl 1 |pages=S5-10 |doi=10.1016/j.eplepsyres.2005.11.014 |pmid=16822650}}</ref><ref>{{cite journal |vauthors=Berg AT, Berkovic SF, Brodie MJ, Buchhalter J, Cross JH, van Emde Boas W, Engel J, French J, Glauser TA, Mathern GW, Moshé SL, Nordli D, Plouin P, Scheffer IE |date=April 2010 |title=Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009 |journal=Epilepsia |volume=51 |issue=4 |pages=676–685 |doi=10.1111/j.1528-1167.2010.02522.x |pmid=20196795 |doi-access=free}}</ref> The current system, introduced in 2017, reflects advances in neuroimaging, genetics, and clinical understanding, and allows for a more individualized and dynamic diagnostic approach.
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