Figure 2.
Pre- and post-operative EEG. Pre- and post-operative EEG in a 38-year-old male with LGS, a lesion, and intractable seizures since childhood. Prior to resection of a left frontal cortical dysplasia (arrowed), the patient suffered daily seizures. Pre-operative interictal EEG showed bursts of slow spike-and-wave (SSW) and generalized paroxysmal fast activity (GPFA). Day 3 post-operative EEG showed persistence of SSW, while day 30 EEG showed complete normalization, consistent with a winding down of the epileptic process. The patient is 2 years seizure free, consistent with LGS being potentially reversible. Re-printed with permission from Archer and colleagues (29).