Semiology Lateralizing value (PPV) Symptomatogenic zone Mechanism
Unilateral automatisms with contralateral dystonic posturing* > 95% N/A Release phenomenon / Activation
Postictal nose wiping > 90%* Unknown Unknown
Unilateral ictal eye blinking > 80% Unknown Unknown
Ictal piloerection (goose bumps)* > 80% Unknown Unknown
Last clonic jerk > 80% Brodmann areas 4 & 6 (primary motor area)  ? Exhaustion of the hemisphere of onset
*In TLE.
PPV: Positive Predictive Value; TLE: Temporal Lobe Epilepsy; N/A: Not Assigned.
Table 2: Localizing semiologic findings pointing to the ipsilateral location (for the epileptogenic zone).