Time‐Frequency Fingerprint Analysis in <scp>SEEG</scp> Source‐Space to Identify the Epileptogenic Zone
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.
Authors
- Takfarinas Medani (ORCID: https://orcid.org/0000-0003-0774-067X)
- Jay R. Gavvala (ORCID: https://orcid.org/0000-0002-9392-6608)
- Johnson P. Hampson (ORCID: https://orcid.org/0000-0002-6087-3888)
- Yash Vakilna (ORCID: https://orcid.org/0000-0001-5084-9625)
- John C. Mosher (ORCID: https://orcid.org/0000-0002-3221-229X)
- Richard M. Leahy (ORCID: https://orcid.org/0000-0002-7278-5471)
- Nuria Lacuey (ORCID: https://orcid.org/0000-0002-6067-7414)
- Chinmay Chinara (ORCID: https://orcid.org/0000-0002-4474-1359)
- Samden Lhatoo (ORCID: https://orcid.org/0000-0002-0260-3855)
- Sandipan Pati (ORCID: https://orcid.org/0000-0003-4171-2138)
- D. Atilgan
Institutions
- University of Southern California (US)
- University of Minnesota Medical Center (US)
- The University of Texas Health Science Center at Houston (US)
Publication Details
- Journal
- Annals of Clinical and Translational Neurology
- Published
- 2025-07-01
- DOI
- https://doi.org/10.1002/acn3.70115
- Citations
- 2
- Primary Topic
- Epilepsy research and treatment
- Type
- article
- Field-Weighted Citation Impact
- 2.94
Funders
- Foundation for the National Institutes of Health
- National Institutes of Health