TABLE 1

Insular versus temporal versus frontal ictal clinical features.

Clinical featuresInsularTemporalFrontal
Painful somatosensoryCommonNoNo
Throat sensationCommonRareNo
Laryngeal constrictionCommonRareNo
Hyper-motorYesNocommon
Orofacial sensationCommonRareNo
Viscerovegetative signs, including hypersalivation, nausea, facial blush, sweaty hands and urge to urinateCommonRareNo
Speech arrest/dysarthriaYes (dominant side)Yes (dominant side)Yes (dominant side)
Epigastric rising sensationRareYesNo
Altered awareness and loss of consciousnessNoYesBrief