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. 2024 Jan 15;64(2):65–70. doi: 10.2176/jns-nmc.2023-0207

Table 1.

Novel approaches to approximate the epileptogenic zone from interictal intracranial EEG

Recording style Potential biomarkers The characteristics of the method
Resting-state EEG High-frequency oscillation (HFO): 80-500 Hz - HFO reflects cortical hyperexcitability.
- HFO indicates the excitatory activity of pyramidal cells.
Resting-state EEG Gamma oscillation regularity (GOR): 30-80 Hz - Increased GOR (i.e., lower entropy) reflects cortical inhibition.
- GOR indicates synchronization of inhibitory interneurons through GABAergic activity.
Evoked responses by SPES CCEP connectivity (Remote region) - Increased internal functional connectivity can be observed within the epileptogenic region.
- Increased inhibitory input from the non-epileptogenic to ictogenic regions can also be observed.
Evoked responses by SPES CCEP excitability (Neighboring region) - Local cortical excitability is demonstrated as enhanced N1 amplitudes and increased HFOs overriding N1 waveforms close to the stimulation site.

CCEP, corticocortical evoked potential; EEG, electroencephalography; HFO, High-frequency oscillation; GABA, gamma-aminobutyric acid; SPES, single-pulse electrical stimulation