Criteria of severity of intractable focal epilepsy in adults.

The most important criteria of severity of intractable focal epilepsies are the high frequency of seizure and the type of seizure, in particular seizures with fall. However, the presence of a brain lesion and its localization, handicap, number of antiepileptic drugs, poor social integration, history of status epilepticus, mortality, traumas, cognitive impairments, depressive symptoms and alteration of quality-of-life are also criteria of gravity. In this article, we propose a review of these various elements limiting our discussion to adults.