Skip to main content

The Syndromes of Generalized Epilepsy

  • Chapter
Generalized Epilepsy

Abstract

According to the classification of epileptic syndromes as proposed by the International League Against Epilepsy Commission on Classification and Terminology (Commission on Classification and Terminology, 1985), an epileptic syndrome is defined as an epileptic disorder characterized by a cluster of signs and symptoms customarily occurring together. Though an epileptic seizure is the symptom that brings the patient to the physician, a syndrome is a condition of which the seizure is just one manifestation. Syndromes are characterized by seizure type, family history, the presence or absence of abnormal neurological findings, a specific age of onset, a natural history with a predictable outcome, and the patients’ response to medication. Two dichotomies are widely used to determine the major classes of the epilepsies. The first dichotomy separates epilepsy with generalized seizures from epilepsies with partial or focal seizures. The second separates epilepsies of known etiology (symptomatic or secondary epilepsies) from those that are idiopathic (primary) or cryptogenic.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Asconape, J., and Penry, J.K., 1984, Some clinical and EEG aspects of benign juvenile myoclonic epilepsy, Epilepsia 25: 108–114.

    Article  Google Scholar 

  • Berkovic, S.F., Andermann, F., Carpenter, S., et al., 1986, Progressive myoclonus epilepsies: Specific cases and diagnosis, New Engl. J. Med. 315: 296–305.

    Article  Google Scholar 

  • Bjerre, I., and Corelius, E., 1968, Benign familial neonatal convulsions, Acta Paediat. Scand. 57: 557–561.

    Article  Google Scholar 

  • Brown, J.K., 1973, Convulsions in the newborn period, Develop. Med. Child Neurol. 15: 823–846.

    Article  Google Scholar 

  • Browne, T.R., Penry, J.K., Porter, R.J., and Dreifuss, F.E., 1974, Responsiveness before, during and after spike wave paroxysms, Neurology (NY) 24: 659–665.

    Google Scholar 

  • Commission on Classification and Terminology of the International League Against Epilepsy, 1981, Proposed for revised clinical and electroencepha-lographic classification of epileptic seizures, Epi-lepsia 22: 489–501.

    Google Scholar 

  • Commission on Classification and Terminology of the International League Against Epilepsy, 1985, Proposal for classification of epilepsies and epileptic syndromes, Epilepsia 26: 268–278.

    Article  Google Scholar 

  • Dalby, M.A., 1969, Epilepsy and three per second spike and wave rhythms. A clinical electroence-phalographic and prognostic analysis of 346 patients, Acta Neurol. Scand. 45: 40.

    Google Scholar 

  • Delgado-Escueta, A.V., and Enrile-Bascal, F., 1984, Juvenile myoclonic epilepsy of Janz, Neurology (NY) 34: 285–294.

    Google Scholar 

  • Doose, H., Gerken, H.J., Horstmann, T., et al., 1973. Genetic factors in spike wave absences, Epilepsia 14: 57–75.

    Article  Google Scholar 

  • Doose, H., Gerken, H., Leonhardt, R., et al., 1970, Centrencephalic myoclonic-astatic petit mal, Neuropaediatric 2: 59–78.

    Article  Google Scholar 

  • Dravet, C., Bureau, M., and Roger, J., 1985a, Severe myoclonic epilepsy in infants, (Roger, J., Bureau, M., Dravet, C., et al. (eds): Epileptic Syndromes in Infancy, Childhood and Adolescence, John Libbey, Eurotext, London.

    Google Scholar 

  • Dravet, C., Bureau, M., and Roger, J., 1985b, Benign myoclonic epilepsy in infants, in (Roger, J., Bureau, M., Dravet, C., et al. (eds): Epileptic Syndromes in Infancy, Childhood and Adolescence, John Libbey, Eurotext, London, pp. 121–129.

    Google Scholar 

  • Drury, I., and Dreifuss, F.E., 1985, Pyknoleptic petit mal, Acta Neurol. Scand. 72: 353–362.

    Article  Google Scholar 

  • Eldridge, R., Iivanainen, M., Stern, R., et al., 1983, “Baltic myoclonus” epilepsy: hereditary disorder of childhood made worse by phenytoin, Lancet 2: 838–842.

    Article  Google Scholar 

  • Gastaut, H., Roger, J., Soulayrol, R., et al., 1966, Childhood epileptic encephalopathy with diffuse slow spike-waves (otherwise known as “Petit mal variant”) or Lennox syndrome, Epilepsia 7: 139–179.

    Article  Google Scholar 

  • Goode, D.J., Penry, J.K., and Dreifuss, F.E., 1970, Effects of paroxysmal spike-wave on continuous visual-motor performance, Epilepsia 11: 241–254.

    Article  Google Scholar 

  • Janz, D., and Christian, W., 1957, Impulsiv-Petit mal, Dtsch. Z. Nervenheilkd. 176: 346–386.

    Article  Google Scholar 

  • Jeavons, P.M., and Bower, B.D., 1964, Infantile spasms: a review of the literature and a study of 112 cases in Clinics of Developmental Medicine, Spastics Society and Heinemann, London.

    Google Scholar 

  • Kellaway, P., Hrachovy, R.A., Frost, J.D., et al., 1979, Precise characteristics and quantification of infantile spasms, Ann. Neurol. 6: 214–218.

    Article  Google Scholar 

  • Lacy, J.R., and Penry, J.K., 1976, Infantile Spasms, Raven Press, New York.

    Google Scholar 

  • Lennox, W.G., 1966, The slow-spike-wave EEG and its clinical correlates, in Lennox, W.G. (ed): Epilepsy and Related Disorders, Vol. 1, Little, Brown, Boston, Toronto, pp. 156–170.

    Google Scholar 

  • Lennox, W.G., Gibbs, F.A., and Gibbs, E.L., 1945, The brain wave pattern, an hereditary trait. Evidence of 74 “normal” pairs of twins, J. Hered. 36: 233–243.

    Google Scholar 

  • Livingstone, S., Torres, I., Pauli, L.L., et al., 1965, Petit mal epilepsy. Result of a prolonged follow-up study of 117 patients, JAMA 194: 113–118.

    Article  Google Scholar 

  • Loiseau, P., 1985, Childhood absence epilepsy, in Epilepsy Syndromes in Infancy, Childhood and Adolescence (Roger, J., Dravet, C., Bureau, M., et al. John Libbey, Eurotext, London, pp. 106–120.

    Google Scholar 

  • Metrakos, J.D., and Metrakos, K., 1960, Genetics of convulsive disorders, Part I — Introduction, problems, methods, and baselines, Neurology (NY) 10: 228–240.

    Google Scholar 

  • Metrakos, J.D., and Metrakos, K., 1961, Genetics of convulsive disorders, Part II — Genetic and electroencephalographic studies in centrece-phalic epilepsy, Neurology(NY) 11: 464–483.

    Google Scholar 

  • Ohtahara, S., Ishida, T., Oka, E., et al., 1976, On the age-dependent epileptic syndromes: The early infantile encephalopathy with suppression-burst, Brain Develop. 8: 270–288.

    Google Scholar 

  • Sato, S., Dreifuss, F.E., and Penry, J.K., 1983, Long term follow-up of absence seizures, Neurology (NY) 33: 1590–1595.

    Google Scholar 

  • Van Heycopten Ham, M.W., and de Jager, H., 1963, Progressive myoclonus epilepsy with La-fora bodies: Clinicopathological features, Epilepsia 4: 95–119.

    Article  Google Scholar 

  • Wolf, P., 1985, Juvenile absence epilepsy, in Roger, J., Dravet, C., Bureau, M., et al. Epileptic Syndromes in Infancy, Childhood and Adolescence, John Libbey, Eurotext, London.

    Google Scholar 

  • Zeman, W., Donahue, S., Dyken, P., et al., 1970, The neuronal ceroid-lipofuscinoses (Balten-Vogt syndrome), in Viken, P.J., and Bruyn, G.W. (eds.): Handbook of Clinical Neurology, Vol. 10, Elsevier North-Holland, Amsterdam, pp. 558–679.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Birkhäuser Boston, Inc.

About this chapter

Cite this chapter

Dreifuss, F.E. (1990). The Syndromes of Generalized Epilepsy. In: Avoli, M., Gloor, P., Kostopoulos, G., Naquet, R. (eds) Generalized Epilepsy. Birkhäuser Boston. https://doi.org/10.1007/978-1-4684-6767-3_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-6767-3_2

  • Publisher Name: Birkhäuser Boston

  • Print ISBN: 978-1-4684-6769-7

  • Online ISBN: 978-1-4684-6767-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics