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In focal onset aware seizures, a small part of one of the lobes may be affected and the person remains conscious. This can often be a precursor to a larger focal onset impaired awareness seizure; in such cases, the focal aware seizure is usually called an aura. A focal impaired awareness seizure affects a larger part of the hemisphere and the ...
A focal aware temporal lobe seizure occurs if a person remains aware of what occurs during the entire seizure; awareness may be retained even if impaired responsiveness occurs during the seizure. [10] A focal impaired awareness temporal lobe seizure occurs if a person becomes unaware during any part of the seizure. [10] Approximately 80% of ...
Sleep-related hypermotor epilepsy (SHE), previously known as nocturnal frontal lobe epilepsy, is a form of focal epilepsy characterized by seizures which arise during sleep. The seizures are most typically characterized by complex motor behaviors. It is a relatively uncommon form of epilepsy that constitutes approximately 9-13% of cases.
The essential changes in terminology are that "partial" is called "focal" with awareness used as a classifier for focal seizures -based on description focal seizures are now defined as behavioral arrest, automatisms, cognitive, autonomic, emotional or hyperkinetic variants while atonic, myoclonic, clonic, infantile spasms, and tonic seizures ...
The classification distinguishes focal aware seizures from focal impaired awareness seizures. [1]: 524 Aware means aware of self and surroundings during the seizure, verified when a person can recall events having occurred during the seizure. [1]: 527 Impaired awareness occurs even if the recall of events is only partially impaired. [1]
Seizures may evolve with head and eye deviation to one side, followed by focal or bilateral convulsive activity. Children often have retained awareness early on, but as the seizure evolves, awareness is often impaired.