Correspondence: Jay R. Gavvala
Department of Neurology,
Feinberg School of Medicine, Northwestern University,
710 North Lake Shore Drive #1114,
Chicago, IL 60611, USA
Signs indicating the end of a focal seizure with loss of awareness and/or responsiveness but without progression to focal or generalized motor symptoms are poorly defined and can be difficult to determine. Not recognizing the transition from ictal to postictal behaviour can affect seizure reporting accuracy by family members and may lead to delayed or a lack of examination during EEG monitoring, erroneous seizure localization and inadequate medical intervention for prolonged seizure duration.