ABSTRACT
This chapter provides a case of a 32-year-old man who presents with a several-month history of strange experiences. He occasionally has a strange metallic taste sensation, which may last for a few seconds up to about a minute. He imagines it is a bit like an out-of-body experience. Over the last few months he has also had quite severe headaches, but these do not coincide with the episodes. There is no previous medical history of note, and he has not recently experienced any trauma. He is well presented and neither physical nor mental state examination reveal any abnormalities. Auras may last for just a few seconds, or may continue as long as a minute or two. The temporal lobes are the common locations for the origin of partial seizures, which start in one localized area. Medication is usually required to treat the epilepsy and the majority do well on the following drugs: carbamazepine, sodium valproate, topiramate, lamotrigine and oxcarbazepine.
