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Proposal: Different types of alteration and loss of consciousness in epilepsy
Author(s) -
Lüders Hans,
Amina Shahram,
Bailey Christopher,
Baumgartner Christoph,
Benbadis Selim,
Bermeo Adriana,
Carreño Maria,
Devereaux Michael,
Diehl Beate,
Eccher Matthew,
Edwards Jonathan,
Fastenau Philip,
Fernandez BacaVaca Guadalupe,
Godoy Jaime,
Hamer Hajo,
Hong Seung Bong,
Ikeda Akio,
Kahane Philippe,
Kaiboriboon Kitti,
Kalamangalam Giridhar,
Lardizabal David,
Lhatoo Samden,
Lüders Jürgen,
Mani Jayanti,
Mayor Carlos,
Mesa Latorre Tomas,
Miller Jonathan,
Morris Harold H.,
Noachtar Soheyl,
O'Donovan Cormac,
Park Jun,
PerezJimenez Maria Angeles,
Rona Sabine,
Rosenow Felix,
Shahid Asim,
Schuele Stephan,
Skidmore Christopher,
Steinhoff Bernhard,
Szabó Charles Á.,
Sweet Jennifer,
Tandon Nitin,
Tanner Adriana,
Tsuji Sadatoshi
Publication year - 2014
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/epi.12595
Subject(s) - consciousness , semiology , epilepsy , psychology , neuroscience , terminology , delirium , illusion , cognitive psychology , psychiatry , philosophy , linguistics
Summary There are at least five types of alterations of consciousness that occur during epileptic seizures: auras with illusions or hallucinations, dyscognitive seizures, epileptic delirium, dialeptic seizures, and epileptic coma. Each of these types of alterations of consciousness has a specific semiology and a distinct pathophysiologic mechanism. In this proposal we emphasize the need to clearly define each of these alterations/loss of consciousness and to apply this terminology in semiologic descriptions and classifications of epileptic seizures. The proposal is a consensus opinion of experienced epileptologists, and it is hoped that it will lead to systematic studies that will allow a scientific characterization of the different types of alterations/loss of consciousness described in this article.

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