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Evidence was analyzed with regard to information provided by intracranial EEG recordings and surgical outcomes, and an estimation of validity of reported signs and symptoms was performed. Semiology of seizures originating from the temporal pole was mostly related to diverse patterns of ictal spread rather than to the localization of seizure origin and comprised a wide variety of early signs and symptoms. Seizures with rapid involvement of temporo\u2010medial and temporo\u2010lateral cortex were intermediate in semiology between medial and lateral onset seizures and may have more frequently early automatisms and early vocalization than seizures arising from temporo\u2010medial or temporo\u2010lateral cortex only. Results of this review are discussed as to limiting factors of origin\u2010based analyses for the understanding of seizure semiology.<\/jats:p>","DOI":"10.1002\/epd2.20329","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T12:14:46Z","timestamp":1741781686000},"page":"187-195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Semiology of seizures with temporo\u2010polar or \u201cmedio\u2010lateral\u201d temporal origin: A systematic review"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2382-0506","authenticated-orcid":false,"given":"Andreas","family":"Schulze\u2010Bonhage","sequence":"first","affiliation":[{"name":"Freiburg Epilepsy Center, Member of the ERN EpiCARE, Faculty of Medicine University of Freiburg  Freiburg 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