Outcome scale

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ILAE outcome scale (better)

Class 1
Completely seizure free
No auras
Class 2
Only auras
No other seizures
Class 3
1 to 3 seizure days per year
± auras
Class 4
4 seizure days per year to 50% reduction of baseline seizure days
± auras
Class 5
Less than 50% reduction of baseline seizure days
± auras
Class 6
More than 100% increase of baseline seizure days
± auras
  • Auras
    • Strange taste/smell
    • Deja-vu, Jamais-vu
    • Fear
    • Ascending unusual feeling
    • Sensory changes

Engel outcome scale

Class I: Free of disabling seizures

  • IA: Completely seizure-free since surgery
  • IB: Non disabling simple partial seizures only since surgery
  • IC: Some disabling seizures after surgery, but free of disabling seizures for at least 2 years
  • ID: Generalized convulsions with antiepileptic drug withdrawal only

Class II: Rare disabling seizures (“almost seizure-free”)

  • IIA: Initially free of disabling seizures but has rare seizures now
  • IIB: Rare disabling seizures since surgery
  • IIC: More than rare disabling seizures after surgery, but rare seizures for at least 2 years
  • IID: Nocturnal seizures only

Class III: Worthwhile improvement

  • IIIA: Worthwhile seizure reduction
  • IIIB: Prolonged seizure-free intervals amounting to greater than half the follow-up period, but not less than 2 years

Class IV: No worthwhile improvement

  • IVA: Significant seizure reduction
  • IVB: No appreciable change
  • IVC: Seizures worse