Faculty, Staff and Student Publications

Language

English

Publication Date

9-1-2025

Journal

Annals of Clinical and Translational Neurology

DOI

10.1002/acn3.70115

PMID

40598826

PMCID

PMC12455889

PubMedCentral® Posted Date

7-1-2025

PubMedCentral® Full Text Version

Post-print

Abstract

This case study highlights the application of seizure fingerprint analysis in the source-space of stereo-EEG (SEEG) data to accurately localize the epileptogenic zone (EZ) in patients with complex cortical malformations. A 25-year-old female with extensive bilateral perisylvian polymicrogyria (PMG) presented with intractable focal seizures. The source-level analysis performed in Brainstorm using the sLORETA imaging algorithm subsequently showed EZ fingerprint analysis. The patient underwent MR-guided laser interstitial thermal therapy (LITT), targeting the identified EZ, resulting in postoperative seizure freedom with minimal complications. Extending the analysis from the sensor-space to the source-space could further enhance surgical planning and improve outcomes in complex epilepsy cases.

Keywords

Humans, Female, Adult, Electroencephalography, Drug Resistant Epilepsy, Magnetic Resonance Imaging, Polymicrogyria, polymicrogyria, seeg, seizure fingerprint, source localization, time‐frequency decomposition

Published Open-Access

yes

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