The “treatment gap” (the difference between people with active epilepsy and people who receive appropriate treatment)1 in epileptic seizures presents challenges on several levels. Past studies addressing the “treatment gap” have focused on the initial diagnosis of epilepsy.2,3 Conceptually, focal seizures can originate from any region of the cortex, and the associated signs and symptoms of seizures are unique to each individual. Therefore, theoretically, the semiology of seizures spans the spectrum of any sensory or motor phenomenon an individual can experience, which is different for each patient. Unsurprisingly, given the complexity of signs and symptoms related to epileptic seizures, there is a lengthy differential diagnosis of patients presenting with the possible diagnosis of epilepsy. These broad categories of differential diagnoses are appropriately called “imitators” of epilepsy.4 Fortunately, the stereotypical patterns of epileptic seizures within individuals help in establishing a diagnosis. While seizure semiology differs between individuals, within a single individual, seizures tend to be stereotypical, sharing a common, reproducible pattern of signs and symptoms. Diagnosis of epilepsy calls for a detailed history to look for patterns of seizures.5