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A 27-year-old woman had epilepsy since she was 21 years old, with seizures starting as an aura of “the surrounding sound become louder” with giddiness followed by blank stare and oral automatism with impaired awareness. She did not have febrile seizures, head trauma, central nervous system infection or perinatal insult. Her older brother (III-2) has adolescent-onset temporal lobe epilepsy (TLE) with auditory aura described as “surrounding environment become very noisy” and déjà vu, followed by right head and eye version and bilateral tonic-clonic seizure.