8A68.4

ICD-11 MMS 2026-01

Generalised tonic-clonic seizure

Description

A seizure characterized by an abrupt onset with loss of consciousness and bilateral tonic extension of the trunk and limbs (tonic phase) followed by synchronous muscle jerking (clonic phase). Usually followed by a postictal phase, lasting for several minutes up to hours, characterized by initial mydriasis, body relaxation, hypotonia, and sleep.

Coding note from above levels

Use additional code, if desired, to identify the type of seizure.

Index terms

  • Generalised tonic-clonic seizure
  • grand mal convulsion
  • grand mal seizure

Exclusions from above levels

  • 6B60.4 – Dissociative neurological symptom disorder, with non-epileptic seizures
  • KB06 – Neonatal seizures
  • MG45 – Syncope
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  • 05 – Endocrine, nutritional or metabolic diseases
  • 18 – Complications of pregnancy, childbirth and the puerperium
  • 19 – Certain conditions originating in the perinatal period
  • 22 – Injury, poisoning or certain other consequences of external causes

Sibling codes

  • 8A68.0 – Focal unaware seizure
  • 8A68.1 – Absence seizures, atypical
  • 8A68.2 – Absence seizures, typical
  • 8A68.3 – Focal aware seizure
  • 8A68.5 – Generalised myoclonic seizure
  • 8A68.6 – Generalised tonic seizure
  • 8A68.7 – Generalised atonic seizure
  • 8A68.Y – Other specified type of seizure
  • 8A68.Z – Type of seizure, unspecified

Foundation entity

Generalised tonic-clonic seizure – http://id.who.int/icd/entity/1091709256

Part of: 8A68: Types of seizures › 08: Diseases of the nervous system