- Complex Seizure
- Most common complex Seizure
- Starts in Temporal Lobe
- Frontal Lobe commonly involved
- Complex and variable
- Aura may be present
- Gastrointestinal symptoms
- Fear
- Motionless stare heralds Seizure
- Consciousness is always impaired
- Automatisms
- Oral facial moves
- Fumbling or picking movements
- Duration: 30 seconds to 2 minutes
- May progress to Generalized Tonic Clonic Seizure
- Absence Seizure (typical or atypical)
- Behavioral disturbance
- Migraine Headache
- Medications (60-70% response rate)
- Surgery: Temporal Lobe Resection
- Indicated for failed medical therapy after 1-2 years
- Efficacy
- Better TLE Seizure control than with anticonvulsant
- Wiebe (2001) N Engl J Med 345:311-8 [PubMed]