A focal seizure with impaired awareness arising from the frontal lobe during sleep. Note that the patient is sleeping on a mattress on the floor with protective mattresses around him. The seizure starts with fulminant hyperkinetic behavior, followed by a gyratory movement of the body to the right. The patient’s awareness is impaired and he is not responding to the nurse’s commands. In the immediate postictal phase, the patient becomes responsive, and is able to point to the window, in response to the verbal command.