This means that the type of seizure will depend on exactly where in the brain it comes from, and what functions that area of the brain is responsible for. Symptoms of Focal Onset Seizures in Children Learn about the symptoms your child may have when he gets a focal onset seizure, which used to be known as a partial seizure. Sometimes a focal onset seizure can spread to both sides of the brain (called a focal to bilateral tonic-clonic seizure). Consciousness is usually lost during these seizures and a variety of behaviors can occur in the child. Skip to main content In focal aware seizures (FAS), previously called simple partial seizures, the person is conscious (aware and alert) and will usually know that something is happening and will remember the seizure afterwards. First-line treatment in children, young people and adults with newly diagnosed focal seizures. Focal onset seizures start in, and affect, just one part of the brain, sometimes called the 'focus' of the seizures. Complex-partieal seizures commonly occur in the temporal lobe of the brain, which is the area of the brain that controls emotion and memory function. Seizures are infrequent, usually nocturnal, and remit within 1 to 3 years from onset. It might affect a large part of one hemisphere or just a small area in one of the lobes. They affect 25% of children with non-febrile seizures. Febrile seizures are common. These seizures usually last between one to two minutes. The seizures that happen when you have Benign Rolandic epilepsy are usually focal seizures. Benign childhood focal seizures are the most common and probably the most fascinating and rewarding topic in pediatric epileptology. 1.9.3.1 Offer carbamazepine or lamotrigine as first-line treatment to children, young people and adults with newly diagnosed focal seizures. Some people find their focal aware seizures hard to put into words. Focal seizures are those where the electrical disturbance is focussed in just one part of the brain. They start in the rolandic part of the brain They start in the rolandic part of the brain It’s possible for your symptoms to involve your face and maybe spread to the arm or the leg. It throws everything off-kilter for a bit. A seizure is a sudden burst of activity, like a flash storm. [new 2012] 1.9.3.2 If carbamazepine or lamotrigine are unsuitable or not tolerated for newly diagnosed focal seizures: