A 21-year-old female with left hemispheric focal epilepsy due to malformation of cortical development who had a seizure during wakefulness. At the time, her parents were talking in the background. The seizure is characterized by biting of her lip and clasping of her hands and a lack of interaction with her environment, although she seemed to nod appropriately in response to portions of her parent’s conversation. The seizure end is characterized by abrupt return of responsiveness and return of speech. The parentswere unaware of the seizure. Afterwards, the patient reported that the onset of seizure was characterized by a feeling of heat over the whole body.