Temporal Lobe Epilepsy Semiology

Table 1

Temporal and frontal lobe seizures differential semiological features.

Features	Temporal	Frontal
Sz frequancy	Less frequent	Often daily
Sz onset	Slower	Abrupt, explosive
Sleep activation	Less common	Characteristic
Progression	Slower	Rapid
Automatisms	Common-longer	Less common
Initial motionless stare	Common	Less common
Complex postures	Late, less frequent, less prominent	Frequent, prominent, and early
Hypermotor	Rare	Common
Bipedal automatisms	Rare	Characteristic
Somatosensory Sx	Rare	Common
Vocalization	Speech (nondominant)	Loud, nonspeech (grunt, scream, moan)
Seizure duration	Longer	Brief
Secondary generalization	Less common	Common
Postictal confusion	More prominent-longer	Less prominent, Short
Postictal aphasia	Common in dominant hemisphere	Rare unless spreads to temporal lobe