There are not that many medical conditions that produce transient, recurrent, and highly-stereotyped neurological symptoms and epileptic seizures top that list of diagnoses to consider, this case, however, produced a particular challenge because [ the ] patient initially only described the cyclical pattern of sweating, not neurological symptoms. It wasn't until a spell was directly observed that alterations of behavior, seen as slowed verbal responses, was recognized to accompany the episodes of intense sweating.