Generalized*Localization-related (partial or focal)
IdiopathicSeizure types: absence, myoclonic, tonic-clonicSeizure types: simple partial (awareness unimpaired), complex partial (awareness impaired), secondarily generalized tonic-clonic
Neurologic examination: normalNeurologic examination: normal
Neuroimaging: normalNeuroimaging: normal
EEG: Normal background with fast (3 to 6 Hz) generalized spike-and-wave dischargesEEG: Normal background with focal epileptiform discharges
Common examples:Common examples:
Childhood absence epilepsy
Juvenile myoclonic epilepsy
Epilepsy with generalized tonic-clonic seizures on awakening
Benign childhood epilepsy with centro-temporal spikes (Rolandic epilepsy)
Benign epilepsy with occipital paroxysms
Treatment: valproate (Depakote), ethosuximide (Zarontin [effective for absence seizures only]), lamotrigine (Lamictal), topiramate (Topamax), felbamate (Felbatol)Treatment: carbamazepine (Tegretol), phenytoin (Dilantin)

SymptomaticSeizure types: atypical absence, myoclonic, tonic, atonic, tonic-clonicSeizure types: simple partial (awareness unimpaired), complex partial (awareness impaired), secondarily generalized tonic-clonic
Neurologic examination: diffuse or multifocal abnormalitiesNeurologic examination: focal abnormalities or normal
Neuroimaging: diffuse or multifocal abnormalities commonNeuroimaging: focal abnormalities common
EEG: Abnormal background with slow (<3 Hz) generalized and/or multifocal epileptiform dischargesEEG: Normal or abnormal background with focal or multifocal epileptiform discharges
Common examples:Common examples:
Lennox-Gastaut syndromeTemporal lobe epilepsy
Progressive myoclonus epilepsiesFrontal lobe epilepsy
Treatment: valproate, lamotrigine, topiramate, felbamate, ketogenic diet, corpus callosotomyTreatment: carbamazepine, phenytoin, valproate, new agents (gabapentin [Neurontin], lamotrigine, tiagabine [Gabitril] topiramate, felbamate), vagus nerve stimulator, resective surgery