Frontal lobe epilepsy
Frontal lobe epilepsy, or FLE, is a neurological disorder that is characterized by brief, recurring seizures that arise in the frontal lobes of the brain, often while the patient is sleeping. It is the second most common type of epilepsy after temporal lobe epilepsy (TLE), and is related to the temporal form by the fact that both forms are characterized by the occurrence of partial (focal) seizures. Partial seizures occurring in the frontal lobes can occur in one of two different forms: either simple partial seizures(that do not affect awareness or memory) or complex partial seizures (that affect awareness or memory either before, during or after a seizure). The symptoms and clinical manifestations of frontal lobe epilepsy can differ depending on which specific area of the frontal lobe is affected.
The onset of a seizure may be hard to detect since the frontal lobes contain and regulate many structures and functions about which relatively little is known. Due to the lack of knowledge surrounding the functions associated with the frontal lobes, seizures occurring in these regions of the brain may produce unusual symptoms which can often be misdiagnosed as a psychiatric disorder, non-epileptic seizure or a sleep disorder.[2]
During the onset of a seizure, the patient may exhibit abnormal body posturing, sensorimotor tics, or other abnormalities in motor skills.[2] In some cases, uncontrollable laughing or crying may occur during a seizure.[1] Afflicted persons may or may not be aware that they are behaving in an abnormal manner, depending on the patient and type of seizure. A brief period of confusion known as a postictal state may sometimes follow a seizure occurring in the frontal lobes. However, these postictal states are often undetectable and generally do not last as long as the periods of confusion following seizures that occur in the temporal lobes.
There are many different causes of frontal lobe epilepsy ranging from genetics to head trauma that result in lesions in the frontal lobes. Although frontal lobe epilepsy is often misdiagnosed, tests such as prolonged EEG monitoring and/or a MRI scan of the frontal lobes can be administered in order to reveal the presence of a tumor or vascular malformation. Unlike most epileptic EEGs, the abnormalities in FLE EEGs precede the physical onset of the seizure and aid in localization of the seizure’s origin.[3] Medications such as anti-epileptic drugs can typically control the onset of seizures, however, if medications are ineffective the patient may undergo surgery to have focal areas of the frontal lobe removed.
Template:Infobox medical condition/Wikidata Frontal lobe epilepsy, or FLE, is a neurological disorder that is characterized by brief, recurring seizures that arise in the frontal lobes of the brain, often while the patient is sleeping. It is the second most common type of epilepsy after temporal lobe epilepsy (TLE), and is related to the temporal form by the fact that both forms are characterized by the occurrence of partial (focal) seizures. Partial seizures occurring in the frontal lobes can occur in one of two different forms: either simple partial seizures(that do not affect awareness or memory) or complex partial seizures (that affect awareness or memory either before, during or after a seizure). The symptoms and clinical manifestations of frontal lobe epilepsy can differ depending on which specific area of the frontal lobe is affected.[1]
The onset of a seizure may be hard to detect since the frontal lobes contain and regulate many structures and functions about which relatively little is known. Due to the lack of knowledge surrounding the functions associated with the frontal lobes, seizures occurring in these regions of the brain may produce unusual symptoms which can often be misdiagnosed as a psychiatric disorder, non-epileptic seizure or a sleep disorder.[2]
During the onset of a seizure, the patient may exhibit abnormal body posturing, sensorimotor tics, or other abnormalities in motor skills.[2] In some cases, uncontrollable laughing or crying may occur during a seizure.[1] Afflicted persons may or may not be aware that they are behaving in an abnormal manner, depending on the patient and type of seizure. A brief period of confusion known as a postictal state may sometimes follow a seizure occurring in the frontal lobes. However, these postictal states are often undetectable and generally do not last as long as the periods of confusion following seizures that occur in the temporal lobes.
There are many different causes of frontal lobe epilepsy ranging from genetics to head trauma that result in lesions in the frontal lobes. Although frontal lobe epilepsy is often misdiagnosed, tests such as prolonged EEG monitoring and/or a MRI scan of the frontal lobes can be administered in order to reveal the presence of a tumor or vascular malformation. Unlike most epileptic EEGs, the abnormalities in FLE EEGs precede the physical onset of the seizure and aid in localization of the seizure’s origin.[3] Medications such as anti-epileptic drugs can typically control the onset of seizures, however, if medications are ineffective the patient may undergo surgery to have focal areas of the frontal lobe removed.
There are many different types of epileptic seizure. Any of us could potentially have a single epileptic seizure at some point in our lives. This is not the same as having epilepsy, which is a tendency to have seizures that start in the brain.
Are all seizures the same?
There are different types of epileptic seizures, but they all start in the brain. There are other types of seizures which may look like epileptic seizures but they do not start in the brain.
Some seizures are caused by conditions such as low blood sugar (hypoglycaemia) or a change to the way the heart is working. Some very young children have ‘febrile convulsions’ (jerking movements) when they have a high temperature. These are not the same as epileptic seizures.
On this page when we use the word ‘seizure’ we mean epileptic seizure.
Types of seizure
In March 2017 the International League Against Epilepsy (ILAE), a group of the world’s leading epilepsy professionals, introduced a new method to group seizures. This gives doctors a more accurate way to describe a person’s seizures, and helps them to prescribe the most appropriate treatments.
Seizures are divided into groups depending on:
- where they start in the brain (onset)
- whether or not a person’s awareness is affected
- whether or not seizures involve other symptoms, such as movement
Depending on where they start, seizures are described as being focal onset, generalised onset or unknown onset.
Focal and generalised
There are two main types of seizure, focal and generalized. Whether you, or someone you know, has had a single seizure or has been diagnosed with epilepsy, it may help to identify the type of seizures that are relevant to you.
Focal aware seizures (FAS)
In focal aware seizures (FAS) the person is conscious (aware and alert), will usually know that something is happening and will remember the seizure afterwards
Tonic clonic seizure
These are the seizures that most people think of as epilepsy. At the start of the seizure the person becomes unconscious, their body goes stiff and if they are standing up they usually fall backwards.
Atonic seizure
In an atonic seizure (or ‘drop attack’) the person’s muscles suddenly relax, and they become floppy. If they are standing they often fall, usually forwards, and may injure the front of their head or face.
Focal impaired awareness seizures (FIAS)
Focal impaired awareness seizures (FIAS) affect a bigger part of one hemisphere (side) of the brain than focal aware seizures.
Myoclonic seizure
In myoclonic seizures the person is conscious, but they are classified as generalised seizures. This is because the person is likely to have other seizures (such as tonic clonic seizures) as well as myoclonic seizures
Absence seizure
Absence seizures (previously called petit-mal) are more common in children than in adults, and can happen very frequently.
Seizure triggers
Triggers are situations that can bring on a seizure in some people with epilepsy. Some people’s seizures are brought on by certain situations. Triggers can differ from person to person, but common triggers include tiredness and lack of sleep, stress, alcohol, and not taking medication. For some people, if they know what triggers their seizures, they may be able to avoid these triggers and so lessen the chances of having a seizure.
Status epilepticus
A person’s seizures usually last the same length of time each time they happen and stop by themselves. However, sometimes seizures do not stop or one seizure follows another without the person recovering in between. If this goes on for 5 minutes or more it is called status epilepticus or ‘status’.
Status is not common, but it can happen in any type of seizure and the person may need to see a doctor. Status in a tonic clonic (convulsive) seizure is a medical emergency and the person will need urgent medical help.
Why do seizures happen?
It is understandable that you may want to know what is causing your seizures, but sometimes it can be hard to find out why seizures have started.
Seizure diaries
Keeping a regular record of your seizures helps to monitor your triggers and helps medical staff review your treatment. We have a seizure diary you can order from our online shop.
Neurones and the brain
Neurones normally communicate by using electrical and chemical signals or messages that cause ‘depolarisation’. But sometimes neurones might send out an ‘abnormal’ message.
Training and resources
Epilepsy Society offer training courses in seizure management for people looking to develop their understanding of epilepsy for professional or personal reasons.
You can order a copy of our ‘seizures’ leaflet, as well as many other information resources, from our online shop.
Taken from our Seizures leaflet. Order this leaflet from our online shop as part of our ‘first five free’ offer, or download the pdf using the link below.
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Temporal lobe epilepsy and psychic phenomenon
readers comments
so, I am dealing with a new aspect of my occipital/temporal lobe epilepsy:
my psychic and spiritual experiences are pretty intense. Since my major seizure in 2009, I have premonitions, visions, and afterlife connections at least a few times a week.
And, it is a beautiful gift, except that I am very isolated by it: how do you say: oh yeah, St Francis of Assisi whispered in my ear yesterday afternoon, or the missing woman is feeling guilt over her contribution to her own death, and so she can’t move on without my energetic assistance?!
I was this way before my epilepsy began, but now, it feels like a prison: we still live in a world where you are either a fraud or crazy if you publicly acknowledge this type of experience.
And, I am faced with the dilemma: if I finally achieve good seizure control, will this ability go away? It is such a part of my personality now, like it or not. . . is epilepsy a gift?
If you have had this experience, please share, I feel pretty alone right now!
Comments

Re: Temporal Lobe Epilepsy And Psychic Phenomenon
Yes, I have this ability too. It is a gift and you should embrace it. I too have temperal lobe epilepsy but I’ve never had surgery. They are well controlled by lamictal and I still have the gift. Yes, some people are weary of it because people fear what they don’t understand. Don’t let that hold you back from being who you want to be and living your life to the fullest.
As far as epilepsy being a gift? Honestly I don’t see it as a curse. It made me appriciate life more, even tho I felt I always did. I’ve only had epilepsy since I was 31…too many head injuries.
I wish you the best in your journey
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Re: Temporal Lobe Epilepsy And Psychic Phenomenon
I feel exactly the same way:)
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Re: Temporal Lobe Epilepsy And Psychic Phenomenon
As for your gift I couldn’t comment. I’m a religious person and wouldn’t be shocked by someone having your abilities.
As for the fear of losing a talent when on meds I can comment. I also have TLE and I’m a writer. I also feared losing my ability to write once my meds were adjusted correctly. And there were times I wondered if the meds (tegretol) were stifling the creative process. But after being on it for so long now (about 15 years) and still coming up with story ideas, I have to say that our talents come from ourselves and whatever Higher Power is out there then just from a few scars on our brains.
Please don’t feel alone.
“The secret of man’s being is not only to live but to have something to live for.” ~ Fyodor Dostoyevsky
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Re: Temporal Lobe Epilepsy And Psychic Phenomenon
I have had events like these take place too. I was diagnosed at age 38 after tonic-clonic seizures. I have had events take place, “visions” etc. where it seems time repeats, or that time loses its process, and wherein I can’t recall if events take place now, in the past or future. And the strange thing, is that this has happened before where events would take place in the future, or I would be able to sense things that have an unknown relevance. For instance, sensing something profound about things that would have ordinarily little significance, which turn out to have profound significance in the future.
I had been skeptical of “fortune telling” and things prior to these things happening, and I try to still convince myself there is no relevance, or these things are just chance, but they occur and then stay in my head, unable to be driven away through logic.
At times it’s as though events from past seizures that were blacked out will come back into my conscious thoughts at the present time, and have a sort or perfect relevance with events as they occurred. At other times it’s recollection of things I do recall happening at times, that later have some profound relevance. Intuition, premonition, whatever it’s called.
comforting and unsettling at once
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Re: Temporal Lobe Epilepsy And Psychic Phenomenon
Sometimes after seizure activity I feel like the fog has been lifted. I have sudden energy where before I was having trouble understanding people or processing what they were saying. I will have the energy to run and do physical activity. I feel great after the seizure my memory is crisp and my recall is fantastic! The memorizing of words off pages comes back!
Premonitions has occured to be when I was in my 20’s and 30’s now I am not totally aware of them. My seizures are better but I have had a VNS implanted and I noticed a minor change in my body, which may have nothing to do with it. I am on Keppra XR and Zonegran. I also have had 2 brain surgeries too,
Hi all,
I’ve had petit mals all of my life (since i was 8). 3 years ago my doctors told me that i could come off of my meds because it had looked like i grew out of my epilepsy…I’m 32 now. well, 2 months ago (after 3 years of being epilepsy-free) i had a grand mal seizure! i’ve had only maybe 5 grand mal seizures (this being my 6th) my entire life. anyway, ever since then i’ve been having these very vivid dreams that somehow come true…premonitions, i guess would be the word. it is freaking me out. what happens in reality isn’t always exactly like my dream, but it’s very close and often stops me in my tracks!!!
i’m not crazy and happen to be a very with-it type ‘A’ of a person. granted tpe A people may be deemed crazy by others, but i hope you get waht i mean. i’m reaching out to see if anyone else has experienced this. i want to mention it to my doctor next week when i see him, but i hope to god he doesn’t think i’m looney tunes. i’ve always had these types of dreams, but never as vivid or frequent. these are more intense. Any advice would be greatly appreciated.
Thanks!!!
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Re: Epilepsy And Psychic Abilites
I have read were folks with Temperal lobe epilepsy have experienced paranormal activity but have only read it. If I run into anything concrete I will let you know.
Thanks John
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Re: Epilepsy And Psychic Abilites
Hello!
Sorry I didn’t see this before. I have premonitons and was diagnosed with epilepsy 5 years ago. The premonitons I have are not the typical kind that others with epilepsy have. I had a premonition of 911 for two months before it happened, premonition of where a burglar pawned jewlry, and lots others….all my life.
I have been looking for any studies that try to correlate epilepsy (I have left temporal lobe epilepsy) with premonitions. I would love to take part in a study. I told the neurologist about my premontions and I’m not sure if he believed me or not.
I am not crazy in any way shape or form. In fact, I’m skeptical. I use to have premonitions and think I was crazy. But, it’s hard to deny the 911 premontion. Since then I ahve been paying attention to what I “see”. I am not on any medication. I had a bad reaction to a few types and since no one can tell me what type of seizures I am having, they released me without meds.
Would love to talk sometime,
Tweety
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Re: Epilepsy And Psychic Abilites
Hey, don’t be too shocked. I was at first, but now actually am excited for the next one. Yes, you tell people what you have, and they think your “off, or one can short. I thought it was on the evil side at first, but then, some kind of good spirit is showing us something. My “visions” have come true 95% of the time. I used to be able to feel earthquakes 1 to 2 weeks before they happened, but then was in an accident..bumped my head, and now donot sense the earthquakes anymore (from all over the world).
What I can tell you is that i saw the killer of the 4 police officers as soon as it came on the news (his discription) in my mind. I also saw an A and a B, but did not know why??? I documented my visons on an e-mail to myself, so it could be verified, as I do now all the time. Thease are very quick flashes of letters or a item in my mind. If I try to analize it, it goes wrong, so just go with the first impression you see.
The kid in Portland who has been missing now for several months, I saw “rr” and a “isch” kind of sounding. Dont know what that means, but now the mother or step mother, Te rr y Horrman is in constant view of the police on this. I instantly knew that the “rr” knows where the boy is.
I also asked my husband “choose a color” and he said OK. I saw “pink” in my head, and thought, knoway, he, a man, will think of pink, but I said pink and his mouth dropped open. I could go on and on,know, one more; Was going to Fred Meyer store, and I saw a lady in a stripe shirt in the bakery section in a vision. When I got to the store, I went directly to the bakery section, and there was a lady in stripes in the bread section. FREAKED me out.
I have had several grand-mal’s over the past 10 years, and I think this may be some kind of “gift” or insight to something fantastic ! Use it well, and to help others. I can say that once you work with it( when it comes) then you have an opportunity to use it for the good. Ya just can’t tell people without proof.
E-mail your visions to yourself as they happen on the spot, then someday maybe all will know you DO have something special. If you report your “visions” to the 911 hotline, you will only hear silance on the other end.
Too bad, for they looked for the guy for 3 days, and my A and B was the citys he was in. Algona,and Auburn, and he encounterd the last police officer who shot him was with the last name B”
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Re: Epilepsy And Psychic Abilites
🙂
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Re: Epilepsy And Psychic Abilites
I am 27 years old and was diagnosed with epilepsy when I was 12. I had 5 seizures before they put me on medication. They told me I “outgrew” it and took me off the medication when I was 18, but then I had a seizure and they put me back on it. As long as I have been on medication, I have been seizure-free.
My whole life I have had “deja vu” experiences, but never thought anything of it because most people – with or without epilepsy – talk about having these. However, in my adult life, I have had many premonitions and have always wondered if they are tied in with my epilepsy. My premonitions have not been as consequential as yours (as far as identifying dangerous people, etc.), but when I started having them, I would tell friends and family about them but I am not sure if they believe me. It got to the point where I stopped saying them out loud, but then something would happen that I dreamnt would, and I would announce that I saw that in my dreams. I think my husband thought I was crazy at first, but over the past couple of years, so many of the premonition dreams I told him about came true that now every time I tell him I had a dream, he gets freaked out.
I really like your suggestion to start emailing them to myself as soon as I wake up. That way, I will have it in writing and be able to refer back to the date I had the premonition and also have documentation that these are real!
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Re: Epilepsy And Psychic Abilites
Thats amazing!
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Re: Epilepsy And Psychic Abilites
I just finished reading your post and decided I needed to write. I have also had not premonitions I would say but more like dreams that have come true. I would dream something and the next day it would come true. One time I dreamed my next door neighbor, my fiances uncle, was mowing his lawn on a chariot style riding lawn mower! The next day he mowed his lawn on his riding style lawn mower. I know it was not a chariot style lawn mower like my dream, but he was still using a riding style lawn mower.
I have also had dreams about something and the next day it happened and came true. I told my stepmom and dad about the dream the next day and they did not believe me, and don’t think just cuz I dreamed it that it was actually going to happen. My stepmom thinks I am obsessing about my seizures. She thinks I look up something and then talk about it like I believe I am going through that or that that happens to me. I hate when she thinks that. I read the posts on this epilepsy forum of what people have to say about their experiences with epilepsy and seiz. and know how it is with me and compare and say oh this person experiences this and that person experiences that. I told her there are over 40 different seiz. types and not everybodys is the same. People who have grand mal seiz. have dreams that come true I told her. One girl has dreams and has grand mal seiz. and they have come true. I have grand mal seiz. and have had dreams that come true. But now I read a post about someone having petit mal seiz. and then they had a grand mal seiz. and they have had dreams that come true. I think people with grand mal seiz. have dreams that come true.
I have also noticed that I know something like I knew I was going to get a job at some place and I got it. I know something and it happens and comes true. Does that happen to anyone else? Have any of you also smelled smells that were not there? I have smelled smells that were not there and a few days later, I have a seizure.
I also see colored sparks behind my closed eye lids, and a few days later I have a seizure too.
Tell me other things all of you experience with your seizures. Thanks!
I read some article on line once that Socrates had seizures and they used to think epilepsy was like a divine gift cuz the person was artistic. Any of you artistic? I am. I draw and I also write.
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Re: Epilepsy And Psychic Abilites
I have had many dreams where the dream came true. I do not think it is that weird. If what you dream about is part of your daily life routine. Then, it would make sense for that action or event to occur.
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Re: Epilepsy And Psychic Abilites
In my childhood when I would seize while asleep I had dreams that would come true. I once seized in my sleep and dreamt about meeting a new neighborhood kid in his home and a few weeks later I met the boy in his home. The dream was very similar to what actually happened. I would also have de ja vu where I would actually see brief moments I experienced in my dreams and then would seize almost directly after I realized. In my teenage years I once had a seizure where my life flashed in my eyes from early childhood, until that moment in my life and also after that current moment in my life. I was going through rough times and my life getting better flashed before my eyes. I havent had any seizures in a while but I often have premonitions while awake that something will happen and either that same day or very soon it does. I usually also get the anxiety when i have the premonition like I may have a seizure and have to calm myself.
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Re: Epilepsy And Psychic Abilites
Hello. Four years ago I started to have grand mal seizures in my sleep. The seiz. have always happened in my sleep. I never had one when I was awake. So far I have had about 17 that I know of. I woke up several times, before my boyfriend saw me have a grand mal seizure when I was sleeping on the couch one morning when he was on the computer, with signs of having had something happen to me during the night, but I did not know what it was. I woke up at least 3 times I know of with peed pants, weak legs, and tongue bitten. No headache or extreme nausea that almost always accompanies my seizures.
I know what you mean about your dreams and having them come true. I have also had dreams that have come true the next day. But not quite like the dream. One time I dreamed my boyfriends next door neighbor who is his uncle was mowing his lawn on a chariot style riding lawn mower. The next day the uncle mowed his lawn on his riding lawn mower!
This next thing I am going to tell you might be shocking and people might think bad of me, but I am going to tell it. A couple years ago, when I used to work at this one company, I was coming back from my break. I was walking down a hallway, and all of a sudden I smelled the disticnt smell of weed. I knew immediately that that night we were going to be smoking some. I called my boyfriend and told him what I smelled and then that night we smoked some. Weird huh?
I also sometimes know when things are going to happen. Like I knew I was going to get my current job I have now before I even got the job.
If you are going to tell your dr. about your dreams and how they seem to be coming true, then make the dr. understand that all through history people who have suffered with seizures and epilepsy have been having psychic things happen and dreams come true.
One person who commented on another post someone wrote about having dreams come true said it is just brain damage they had for the things to seem to be coming true. I have to disagree with that. I have had psychic feelings and have known things my whole life even before I started to have grand mal seizures. I believe psychic ability does exist and that people can have it. It is not a form of brain damage like that one poster said.
Hope this helps!
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