Frontal lobe epilepsy is characterized by simple partial seizures, complex partial seizures, and secondary generalized seizures or a combination of these seizures, which usually occur several times a day and often during sleep. Frontal lobe partial seizures can sometimes be confused with psychogenic seizures, and persistent status epilepticus is a common comorbidity. Seizure types are described as follows: 1. Paramotor area seizures Seizures in the paramotor area take the form of postural focal tonicity with vocalizations, pauses in speech, and fencing positions. The patient’s head and eyes are turned to the contralateral side of the epileptic origin, and the upper extremity contralateral to the epileptogenic focus is abducted, the shoulder is externally rotated, and the elbow is flexed with the appearance as if the patient is gazing at his or her hand. The ipsilateral upper and lower extremities are tonicly abducted, with more pronounced movements in the distal upper extremity than in the distal lower extremity. This ipsilateral extension of the upper extremity to the side of origin of the epilepsy has been described as a “fencing position”. Cingulate seizures are complex partial seizures with complex motor gesture automatism at the onset and common autonomic signs, such as altered mood and emotion. 3. Prefrontal polar area seizures Prefrontal polar area seizures include compulsive thinking or onset contact loss and head and eye turning movements, which may be accompanied by evolution, including reversal of movement and axial clonic jerks and falls, as well as autonomic signs. 4. orbitofrontal seizures The form of orbitofrontal seizures is a complex partial seizure with onset of motor and gestural automatism, olfactory hallucinations and delusions and autonomic signs. 5. Dorsolateral seizures The seizures may be tonic or, less commonly, clonic, with eye and head rotation and speech arrest. 6. Insular seizures The features of insular seizures include chewing, salivation, swallowing, laryngeal symptoms, speech arrest, epigastric aura fear, and autonomic sign phenomena. Simple partial seizures, especially partial clonic facial seizures, are common and may be unilateral. If secondary sensory changes occur, numbness may be a symptom, especially in the hands. Taste hallucinations are particularly common in this area. 7. Motor cortical seizures The main feature of motor cortical seizures is simple partial seizures, which are localized based on which side the involvement is on and the local anatomy of the involved area. Involvement in the lower pre-Rolando area may have speech arrest, vocalization or speech disorders, and contralateral facial tonic-clonic movements or swallowing movements, and generalized seizures occur frequently. In the lateral fissure area, partial motor seizures do not appear with progressive or Jackson seizures; they begin especially in the contralateral upper extremity. In paracentral lobule involvement, seizures appear as tonic movements in the ipsilateral foot and sometimes in the contralateral leg, and post-ictal Todd paresis is common with seizures originating precisely in the motor cortical area, where the threshold for epileptogenesis is low and can be enhanced by dissemination to a wider epileptogenic area.