Our expert says:
Temporal lobe epilepsy is not epilepsy as we generally know it ( falling down while fitting). It can present with emotional and concentration abnormalities as well as local fits(but only 50% do)
Auras occur in approximately 80% of temporal lobe seizures. this means that they can be hearing or seeing things abnormally or hallucinating. Patients may report distortions of shape, size, and distance of objects.
Patients may have a feeling a sense of familiarity or unfamiliarity
Patients may experience depersonalization (ie, feeling of detachment from oneself) or derealization (ie, surroundings appear unreal).
Fear or anxiety
Autonomic phenomena are characterized by changes in heart rate, hair standing upright, and sweating. Patients may experience nausea.
Following the aura, a temporal lobe complex partial seizure begins with a wide-eyed, motionless stare, dilated pupils, you can see that they do things like lip smacking, chewing, and swallowing.
Patients may continue their activity or react to their surroundings in a semipurposeful manner. Patients usually experience a period of confusion
Most auras and automatisms last a very short periodâ€”seconds or 1-2 minutes. The postictal phase ( after a fit) may last for a longer period (several minutes). They cant remember that they had the episode.
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