Although a nonspecific cephalic sensation, the so-called “cephalic aura,” is a common
sensory aura, particularly in frontal lobe seizures, but is rarely is the entire sensory seizure
event. The unusual presentation of cephalic sensations in isolation representing
supplementary motor area (SMA) seizures, which are commonly unaccompanied by ictal
electroencephalography (EEG) changes, can easily lead to misdiagnosis of nonepileptic
psychogenic seizures. We illustrate the case of a 36-year-old male patient with frontal lobe …