This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Epilepsy and EEG, Subject name: Medicine
Which is the most common syndrome associated with focal seizures with dyscognitive features in adults? 
Select and explain. 
A. Lennox Gastaut syndrome, B. Mesial temporal lobe epilepsy, C. Rolandic epilepsy, D. Epilepsia Paialis Continua
B: Mesial temporal lobe epilepsy
Answer: B: Mesial temporal lobe epilepsy 
Explanation: M/C syndrome associated with focal seizures with dyscognitive features is Mesial temporal lobe epilepsy. * Febrile convulsion * Focal seizures with impaired awareness "Automatism" * EEG - Temporal (U/L or B/L) spikes *MRI - Hippocampal sclerosis * Lennox Gastaut syndrome is seen in children and presents with multiple seizure type. Benign Rolandic epilepsy MC epilepsy in children Focal seizures Peak age of onset: 2-13 yr If a focal seizure continues for hours/days it is known as Epilepsia Paialis Continua.