Relative Frequency of Epileptic Syndromes

Studies of the distribution of epileptic syndromes and epileptic seizures in the population have had conflicting results. In population-based studies, epilepsies with complex focal and focal seizures secondarily evolving to tonic-clonic seizures are most frequent, occurring in 69% of all patients. This is followed by primary generalized tonic-clonic seizures in 30% and absence or myoclonic seizures in less than 5%. In hospital-based studies, the numbers of subtle generalized seizures (absences and myoclonic seizures) are generally higher, almost certainly related to the increased accuracy and sensitivity of diagnosis.

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