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Diagnosis of epilepsy can be difficult. A number of other conditions may present very similar signs and symptoms to seizures, including syncope, hyperventilation, migraines, narcolepsy, panic attacks and psychogenic non-epileptic seizures (PNES). [133] [134] In particular, syncope can be accompanied by a short episode of convulsions. [135]
Temporal lobe epilepsy is the most common type of focal onset epilepsy among adults. [1] Seizure symptoms and behavior distinguish seizures arising from the mesial (medial) temporal lobe from seizures arising from the lateral (neocortical) temporal lobe. [2] Memory and psychiatric comorbidities may occur.
Symptoms of this disorder usually begin appearing in adolescence-early adulthood. [3] People with this disorder have may auditory symptoms before and during seizures. For example: [4] [5] Buzzing; Ringing; Humming; Voices; Music; Changes in the intensity/volume of sound; Changes in the senses; Inability to understand speech (receptive aphasia)
Other symptoms during this period include drowsiness, headache, difficulty speaking, psychosis, and weakness. [15] [16] [17] Observable signs and symptoms of seizures vary depending on the type. [3] [13] Seizures can be classified into generalized seizures and focal seizures, depending on what part of the brain is involved. [3] [13]
In the field of neurology, seizure types are categories of seizures defined by seizure behavior, symptoms, and diagnostic tests.The International League Against Epilepsy (ILAE) 2017 classification of seizures is the internationally recognized standard for identifying seizure types. [1]
Transient amnesia can be the principal manifestation of epilepsy. This diagnosis, however, is "seldom suspected by clinicians and remains controversial". [4] TEA is "almost always misdiagnosed" according to a leading authority. [9] In the largest study to date (2007) "Epilepsy was the initial specialist diagnosis in only 12 of 50 cases."