The prognostic value of cortical stimulation induced seizures using stereo EEG in presurgical evaluation of focal epilepsies.

ABSTRACT: The value of stimulation-induced seizures for multimodal determination of the epileptogenic zone in preoperative epilepsy diagnostics has not yet been sufficiently investigated. Patients with focal pharmacorefractory epilepsy who underwent invasive electroencephalography with cortical 50 Hz stimulation at the Epilepsy Center Erlangen between 2018 and 2023, had at least one stimulation-induced seizure, underwent resective epilepsy surgery, and had a postoperative follow-up ≥ 1 year were analyzed. 20 patients were included, 11 (55.0%) with temporal, 7 (35.0%) with frontal and 2 (10.0%) with parietal lobe epilepsy. 12 patients (60.0%) had a good Engel outcome (Engel 1A). Associated with a good vs. poor (Engel 1B-4) surgical outcome were not only the percentage of resected electrode contacts o

SUBMITTER: Reindl C 

PROVIDER: S-EPMC11885602 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature