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Neuropsychological Outcomes after Epilepsy Surgery: A Comparison of Stereo-EEG and Subdural Electrodes.

Ravindra AryaClayton FrinkChristina KargolAnna W ByarsDavid HuddlestonDonna B DiedenhoferGewalin AungaroonBrian ErvinPaul S HornS K Z IhnenJeffrey R TenneyKelly KremerSusan FongNan LinWei LiuTodd M ArthurJesse SkochJames L LeachFrancesco T ManganoTracy A GlauserHansel M GreinerKatherine D Holland
Published in: European journal of neurology (2023)
Intracranial evaluations with SEEG and SDE are comparable in terms of long-term postsurgical neuropsychological outcomes. Our data suggests that SEEG may be associated with improvements in working memory and processing speed, representing cognitive domains served by spatially distributed networks. Our study also supports wider use of language ESM before epilepsy surgery, preferably using other language tasks in addition to visual naming. Rather than the type of electrode, postsurgical neuropsychological outcomes are driven by whether language ESM was performed or not, with beneficial effects of language mapping.
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