ABSTRACT
This case demonstrates the importance of seizure semiology. During the presurgical evaluation of our patient, the results from non-invasive electrophysiological and functional imaging studies all pointed to the seizures originating within the right temporal lobe. In addition, our patient experienced auras with fear and déjà-vu and exhibited non-verbal memory deficits. These symptoms can also be associated with right-sided temporal lobe epilepsy. The only clue that the seizures arose from the anterior cingulate gyrus was the motor and hypermotor (complex movement) signs, which had a somewhat aggressive quality. This single clinical observation necessitated the use of interhemispheric subdural strip electrodes and, eventually, permitted the localization of the primary epileptogenic area.
