Beyond focal and generalized: are we classifying seizures, or helping patients? A provocative reappraisal of epilepsy classification in the era of therapeutic pathways.
It is argued that classification should elevate therapeutic trajectory over electroclinical phenomenology, and it is proposed an Interventional Axis built around three pathways: focal resection, neuromodulation, and palliative surgery, operating in parallel with pharmacotherapy rather than after its serial failure.