FAMILIAL MESIAL TEMPORAL LOBE EPILEPSY (FMTLE)

Mandatory seizures

Patients typically have mild focal aware cognitive seizures with déjà vu. Other cognitive features commonly associated with déjà vu include altered perceptions and illusions (visual or auditory). There may be emotional (e.g. fear/panic), sensory or autonomic (e.g. a rising epigastric sensation, nausea, tachycardia, sweating, flushing, or pallor) features seen during the seizure.

May have

Focal impaired awareness seizures

Focal to bilateral tonic-clonic seizures (when these occur, they are infrequent)

Exclusionary

Other seizure types are not expected.