ILAE 2017 – Focal Impaired Awareness — SCE Neurology MCQ
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Correct answer: D — Use focal, generalised, unknown and unclassified classes, and record consciousness by awareness and responsiveness
The 2025 ILAE update retains four main seizure classes: focal, generalised, unknown and unclassified, with 21 seizure types. It replaces the former reliance on “awareness” with “consciousness”, defined through awareness and responsiveness. Preserved retrospective recall alone therefore does not fully describe consciousness if the person was unresponsive during the event. Motor and non-motor descriptors remain useful but do not replace the four principal classes. The update matters because a contemporary item should not present the 2017 terminology as the current standard.
Reference: ILAE 2025 updated classification of epileptic seizures: https://www.ilae.org/news-and-media/news-about-ilae/the-international-league-against-epilepsy-updates-classification-of-epileptic-seizures