Temporal and frontal lobe seizures diļ¬erentiating semiological features.
Features | Frontal | Temporal |
Seizure frequency | Often daily | Less frequent |
Occurrence during sleep | Typical | Less common |
Seizure onset | Abrupt | Gradual |
Seizure duration | Brief (usually up to 30 s)* | Longer (usually 30 s to 2 min)* |
Evolution | Rapid | Gradual |
Automatisms | Less common | Common and longer |
Complex motor features | Early, frequent, prominent | Late, less frequent |
Hypermotor | Common | Rare |
Vocalisation | Loud, nonspeech (scream, grunt) | Ictal speech (nondominant) |
Secondary generalisation | Common | Less common |
Postictal confusion | Shorter, less prominent | Longer, more prominent |
*Can be longer.