Table 2

Temporal and frontal lobe seizures diļ¬€erentiating semiological features.

FeaturesFrontalTemporal
Seizure frequencyOften dailyLess frequent
Occurrence during sleepTypicalLess common
Seizure onsetAbruptGradual
Seizure durationBrief (usually up to 30 s)*Longer (usually 30 s to 2 min)*
EvolutionRapidGradual
AutomatismsLess commonCommon and longer
Complex motor featuresEarly, frequent, prominentLate, less frequent
HypermotorCommonRare
VocalisationLoud, nonspeech (scream, grunt)Ictal speech (nondominant)
Secondary generalisationCommonLess common
Postictal confusionShorter, less prominentLonger, more prominent
  • *Can be longer.