2008 ICD-9-CM Volume 1 Diagnosis Codes Home > Diseases Of The Nervous System And Sense Organs 320-389 > Other Disorders Of The Central Nervous System 340-349 > Epilepsy 345.* >  2008 ICD-9-CM Diagnosis 345.4
Partial epilepsy with impairment of consciousness On October 1, 2008 the 2009 ICD-9-CM codes came into effect. Therefore, this code may be out of date.
The 2009 version of ICD-9-CM 345.4 can be accessed here. - A disorder characterized by recurrent partial seizures marked by impairment of cognition. During the seizure the individual may experience a wide variety of psychic phenomenon including formed hallucinations, illusions, deja vu, intense emotional feelings, confusion, and spatial disorientation. Focal motor activity, sensory alterations and AUTOMATISM may also occur. Complex partial seizures often originate from foci in one or both temporal lobes. The etiology may be idiopathic (cryptogenic partial complex epilepsy) or occur as a secondary manifestation of a focal cortical lesion (symptomatic partial complex epilepsy). (From Adams et al., Principles of Neurology, 6th ed, pp317-8)
- A localization-related (focal) form of epilepsy characterized by recurrent seizures that arise from foci within the temporal lobe, most commonly from its mesial aspect. A wide variety of psychic phenomena may be associated, including illusions, hallucinations, dyscognitive states, and affective experiences. The majority of complex partial seizures (see EPILEPSY, COMPLEX PARTIAL) originate from the temporal lobes. Temporal lobe seizures may be classified by etiology as cryptogenic, familial, or symptomatic (i.e., related to an identified disease process or lesion). (From Adams et al., Principles of Neurology, 6th ed, p321)
- 345.4 is a non-specific code that cannot be used to specify a diagnosis
- 345.4 contains 22 index entries
- View the ICD-9-CM Volume 1 345.* hierarchy
345.4 also known as:- Epilepsy:
- limbic system
- partial:
- secondarily generalized
- with impairment of consciousness
- with memory and ideational disturbances
- psychomotor
- psychosensory
- temporal lobe
- Epileptic automatism
Index entries containing 345.4:- Attack
- psychomotor (see also Epilepsy)
 345.4
Automatism 348.8- epileptic (see also Epilepsy) 345.4
- paroxysmal, idiopathic (see also Epilepsy) 345.4
Convulsions (idiopathic) 780.39- psychomotor (see also Epilepsy) 345.4
Epilepsy, epileptic (idiopathic) 345.9- akinetic 345.0
- psychomotor 345.4
- automatism 345.4
- communicating 345.4
- limbic system 345.4
- localization related (focal) (partial) and epileptic syndromes
- with
- complex partial seizures 345.4
- partial (focalized) 345.5
- with
- impairment of consciousness 345.4
- memory and ideational disturbances 345.4
- psychomotor type 345.4
- psychosensory type 345.4
- secondarily generalized 345.4
- temporal lobe type 345.4
- psychomotor 345.4
- psychosensory 345.4
- temporal lobe 345.4
- uncinate (gyrus) 345.4
Mania (monopolar) (see also Psychosis, affective) 296.0- epileptic (see also Epilepsy) 345.4
Seizure(s) 780.39- akinetic (idiopathic) (see also Epilepsy) 345.0
- psychomotor 345.4
- uncinate (see also Epilepsy) 345.4
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