Classification of Seizures and Epilepsies: Neonates

The ILAE classification of seizures and the epilepsies: Modification for seizures in the neonate. Position paper by the ILAE Task Force on Neonatal Seizures, Epilepsia (2021)

Seizures are the most common neurological emergency in the neonatal period and in contrast to those in infancy and childhood, are often provoked seizures with an acute cause and may be electrographic-only. Hence, neonatal seizures may not fit easily into classification schemes for seizures and epilepsies primarily developed for older children and adults. A Neonatal Seizures Task Force was established by the International League Against Epilepsy (ILAE) to develop a modification of the 2017 ILAE Classification of Seizures and Epilepsies, relevant to neonates. The neonatal classification framework emphasizes the role of electroencephalography (EEG) in the diagnosis of seizures in the neonate and includes a classification of seizure types relevant to this age group. The seizure type is determined by the predominant clinical feature. Many neonatal seizures are electrographic-only with no evident clinical features; therefore, these are included in the proposed classification. Clinical events without an EEG correlate are not included. Because seizures in the neonatal period have been shown to have a focal onset, a division into focal and generalized is unnecessary. Seizures can have a motor (automatisms, clonic, epileptic spasms, myoclonic, tonic), non-motor (autonomic, behavior arrest), or sequential presentation. The classification allows the user to choose the level of detail when classifying seizures in this age group.


Español | Spanish

La clasificación ILAE de convulsiones y las epilepsias: Modificación para convulsiones en el neonato. Documento de posición del Grupo de Trabajo de ILAE sobre Convulsiones Neonatales

Français | French

Classification de l'ILAE des crises épileptiques et épilepsies : modification pour les crises d'épilepsie chez le nouveau-né. Position du groupe de travail de l'ILAE sur les crises d'épilepsie chez le nouveau-né

Українська | Ukrainian

Класифікація нападів та епілепсій МПЕЛ: Модифікація нападів у новонароджених. Документ з викладення позиції робочої групи МПЕЛ з питань нападів новонароджених