Context: Epilespy should always be defined by its type. This helps in appropriate management and also guides the physician in prognosis. Management duration of epilepsy depends upon syndrome. For each epilepsy syndrome, the management varies. This is challenging to have precise diagnosis. Hence ILAE gave classification of epilepsy. Aims: Application of International League Against Epilepsy (ILAE) classification in patients with epilepsy. Settings and design: Hospital based cross sectional study was carried out at Osmania General Hospital and Niloufer Hospital for women and children. Methods and Material: The study material consisted of consecutive patients (both inpatients and outpatients) with all seizure disorder. Details about each patient’s birth and development, age at epilepsy onset, number of seizures, precipitating factors, and seizure description, family history, and neurologic findings were documented. Computerized tomography (CT) scans were performed on most patients and MRI scans in some cases. EEGs were recorded in most patients. Statistical analysis: Proportions were used to analyze the data. Results: In this study majority of the cases were children less than 10 years of age. Of the study population, 52.61% were classified as localization­related, 26.3% patients with generalized epilepsies and epileptic syndromes, 11.69% cases were Undetermined whether focal or generalized and 9.37% were Special syndromes (Situation ­ related). Symptomatic category of epilepsies was seen in majority of the localization related epilepsy cases. Ring enhancing lesion and cerebral calcified lesion on neuro imaging are common etiologic factors for epilepsy in our study. Conclusion: The 1989 ILAE classification is a good method of classification of epilepsies and related syndromes. 

Keywords: Epilepsy; Classification; Patients; Syndrome.