Temporal lobe seizures initiate in the temporal lobes of your brain, which process emotions and are important for short-term memory. Some symptoms of a temporal lobe seizure may be related to these functions, including having odd feelings such as euphoria, deja vu or fear. A sudden sense of unprovoked fear, a feeling that what's happening has happened before. A sudden or strange odor or taste. A rising sensation in the abdomen.
One intention-to-treat Class I randomized, controlled trial of surgery for mesial temporal lobe epilepsy found that 58% of patients randomized to be evaluated for surgical therapy (64% of those who received surgery) were free of disabling seizures and 10 to 15% were unimproved at the end of 1 year, compared with 8% free of disabling seizures in the group randomized to continued medical therapy. There are similar Class IV results for localized neocortical resections; no Class I or II studies are available.
Anticonvulsant medications may help reduce or eliminate recurrent seizures in some people. They include carbamazepine, divalproex sodium, gabapentin, lamotrigine. Temporal lobe seizures may be difficult to completely control with medication alone. It is not unusual for a person to have an occasional temporal lobe seizure despite taking the correct amount of medication.