TABLE 1.
Passive | Active | ||||
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Spikes | HFOs | Background EEG | Single pulse | Train of pulses | |
Current use | Clinical evaluation of the irritative zone for surgical planning | Research | Research | Trigger clinical seizures for surgical planning | |
What is measured | Visual identification of spikes Spike quantity and network |
Visual identification of HFOs HFO quantity and network |
Spectral measures Connectivity measures |
CCEP amplitude Triggered epileptiform responses Connectivity measures |
Visual identification of seizure onset |
What is localized | Spike zone | HFO zone | Not established | Not established | Seizure onset zone |
Monitoring over time | Strong modulation by brain states: frequency, amplitude, and propagation variable across sleep– wake, circadian, and multidien cycles | Not established | Not established | ||
Modulation by ASMs | Expected decrease | Expected decrease | Not established | Expected decrease in excitability | Expected increase in seizure threshold |
Abbreviations: ASM, antiseizure medication; CCEP, corticocortical evoked potential; EEG, electroencephalogram; HFO, high-frequency oscillation.