Of course one good thing I see is that the Normal Background rhythm rules out the scary encephalopathies. Anterior temporal is the front part of the temporal lobe that is adjacent to the frontal lobe, and according to the way the eeg leads are applied the spiking is all in one area that seems consistent with one clear focal area. I think this is saying that his seizures are coming from one area and then spreading.

I hope this helps.

Ginny