Response – The concept of consciousness and its relevance to the classification of seizures and epilepsies

Proposal: Different types of alteration and loss of consciousness in epilepsy

“…The question is whether the presence or absence of dialepsis should be the main criterion for subdivision of focal seizures. As Avanzini already pointed out, the occurrence of dialepsis is a major semiologic feature but is of little relevance from a pathophysiologic point of view . All focal seizures start “focally or regionally,” by definition, and then spread to involve more cortical and subcortical structures.…”

“…As Avanzini already pointed out, the occurrence of dialepsis is a major semiologic feature but is of little relevance from a pathophysio-logic point of view. 11 All focal seizures start "focally or regionally," by definition, and then spread to involve more cortical and subcortical structures. As the seizure spreads, dialepsis will eventually occur and secondarily a generalized seizure with coma can follow.…”

Epilepsy and the Sensory Systems

“…When epileptic seizures are concerned, motor signs predominantly come to mind, and an important question is whether consciousness is affected (1). The involvement of the sensory systems is often forgotten, although it should be equally important.…”

Response – New terminologies: The downsides

“…The decades‐old controversy about whether or not to include consciousness in seizure classification carries on. Blumenfeld and Jackson () make a further contribution to this, and for debate, Avanzini () and Wolf () add commentaries on this issue.…”