Focal Epilepsy Clinical Trial
Official title:
Cortical Excitability Assessment of Pharmacoresistant Focal Epilepsy Using Direct Electrical Stimulation During Stereo-electroencephalography
The identification of the epileptogenic zone (EZ) during pharmacoresistant focal epilepsy
presurgical assessment frequently requires intracranial recordings like
stereo-electroencephalography (SEEG). Cortical direct electrical stimulation (DES) is
commonly used during SEEG for functional mapping or to induce seizure.
However, the recording of seizures is sometimes insufficient to circumscribe the EZ and
development of new biomarkers is necessary.
The cortex within the EZ is thought to be hyperexcitable. The "paired pulses" paradigm, using
transcranial magnetic stimulation (TMS), allows determining the hemispheric cortical
excitability level. The investigators hypothesize that paired pulses DES during SEEG could
provide useful information for EZ identification.
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