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Seizure outcome in drug-resistant epilepsy in the setting of polymicrogyria.

Thandar AungJin BoWilliam BingamanImad NajmAndreas AlexopoulosJuan C Bulacio
Published in: Seizure (2024)
Resective surgery guided by ICEEG for defining the epileptogenic zone (EZ), in DRE patients with PMG, leads to favorable seizure outcomes. ICEEG-guided focal surgical resection(s) may lead to SF in patients with bilateral or extensive unilateral PMG. ICEEG aids in EZ localization within and/or outside the MRI-identified PMG. Complete removal of PMG identified on MRI does not guarantee SF. Hence, developing preimplantation hypotheses based on epileptogenic networks evaluation during presurgical assessment is crucial in this patient population.
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