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Living with Autosomal dominant epilepsy with auditory features

A family-linked form of epilepsy in which seizures cause people to hear sounds like buzzing or ringing.

Understanding Autosomal dominant epilepsy with auditory features

Autosomal dominant epilepsy with auditory features (ADEAF) is an uncommon form of epilepsy that runs in families and often causes people to hear sounds during seizures.

Sounds may be buzzing, humming, ringing, voices, or music. Some people suddenly cannot understand speech before losing awareness. The seizures start in one part of the brain (focal), the lateral temporal lobe. Most are focal aware seizures with no loss of consciousness. Seizures usually begin in adolescence or young adulthood and are usually infrequent and well controlled with medicine.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hearing sounds during seizures (buzzing, humming, ringing)
  • Focal seizures starting in one part of the brain
  • Trouble understanding or finding words (aphasia)
  • Dizziness or a spinning feeling (less often)
  • Visual hallucinations (less often)
  • Smell changes (less often)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Epilepsy Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which seizure medicines work well for this type of epilepsy?
Are there triggers, like certain sounds, I should watch for?
Would genetic testing help my relatives?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant

GARD says it runs in families. It is autosomal dominant, meaning one changed copy of a gene can be enough to cause it. GARD doesn't list a gene in this record.

GeneticNeurological

Also known as: adeaf; adlte; adpeaf; autosomal dominant lateral temporal lobe epilepsy; familial epilepsy with auditory features; feaf - familial epilepsy with auditory features

Patient organizations

Source: NIH GARD · Autosomal dominant epilepsy with auditory featuresGARD ID 2257 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autosomal dominant epilepsy with auditory features.

Explore the Autosomal dominant epilepsy with auditory features blog

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