Abstract

Many epilepsy patients have medically refractory disease. Surgery can be effective if the seizure onset is adequately localized. Invasive monitoring is used if noninvasive methods are inconclusive. Invasive monitoring may fail if the pre-surgical hypothesis is wrong. In this case, a decision must be made whether to remove all electrodes without a clearly defined onset or implant additional electrodes with the aim of better localization due to expanded coverage.

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