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

Lueders H, Amina S, Bailey C, Baumgartner C, Benbadis S, Bermeo A, Carreno M, Devereaux M, Diehl B, Eccher M, Edwards J, Fastenau P, Fernandez Baca-Vaca G, Godoy J, Hamer H, Hong SB, Ikeda A, Kahane P, Kaiboriboon K, Kalamangalam G, Lardizabal D, Lhatoo S, Lueders J, Mani J, Mayor C, Mesa Latorre T, Miller J, Morris HH, Noachtar S, O'Donovan C, Park J, Angeles Perez-Jimenez M, Rona S, Rosenow F, Shahid A, Schuele S, Skidmore C, Steinhoff B, Szabo CA, Sweet J, Tandon N, Tanner A, Tsuji S (2014)

Publication Type: Journal article

Publication year: 2014


Publisher: Wiley-Blackwell

Book Volume: 55

Pages Range: 1140-4

Journal Issue: 8

DOI: 10.1111/epi.12595


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.

Authors with CRIS profile

Involved external institutions

University Hospitals of Cleveland / Case Western Reserve University Hospital US United States (USA) (US) University of Missouri-Columbia (Mizzou) US United States (USA) (US) University of South Florida (USF) US United States (USA) (US) Universitat de Barcelona (UB) / University of Barcelona ES Spain (ES) University College London (UCL) GB United Kingdom (GB) Sungkyunkwan University (SKKU) KR Korea, Republic of (KR) Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel AT Austria (AT) Medical University of South Carolina (MUSC) US United States (USA) (US) Pontificia Universidad Católica de Chile CL Chile (CL) Kyoto University / 京都大学 Kyōto daigaku JP Japan (JP) University of Texas MD Anderson Cancer Center US United States (USA) (US) Kokilaben Dhirubhai Ambani Hospital IN India (IN) Hospital Universitário Fundación Santa Fe de Bogotá CO Colombia (CO) Saint Luke's Health System US United States (USA) (US) Ludwig-Maximilians-Universität (LMU) DE Germany (DE) Wake Forest University US United States (USA) (US) Hospital Infantil Universitario Niño Jesús / Hospital del Niño Jesús ES Spain (ES) Eberhard Karls Universität Tübingen DE Germany (DE) Philipps-Universität Marburg DE Germany (DE) Northwestern University US United States (USA) (US) Thomas Jefferson University US United States (USA) (US) Epilepsiezentrum Kork DE Germany (DE) University of Texas Health Science Center at San Antonio (UTHSCSA) US United States (USA) (US) International University of Health and Welfare (IUHW) / 国際医療福祉大学 JP Japan (JP) Grenoble University Hospital Centre / Centre Hospitalier Universitaire de Grenoble (CHUG) FR France (FR)

How to cite


Lueders, H., Amina, S., Bailey, C., Baumgartner, C., Benbadis, S., Bermeo, A.,... Tsuji, S. (2014). Proposal: different types of alteration and loss of consciousness in epilepsy. Epilepsia, 55(8), 1140-4.


Lueders, Hans, et al. "Proposal: different types of alteration and loss of consciousness in epilepsy." Epilepsia 55.8 (2014): 1140-4.

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