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. 2018 Apr 6;3(2):224–235. doi: 10.1002/epi4.12110

Table 1.

Patient characteristics

Patients Preoperative cognition Epilepsy factors IC Factors Postoperative data
Gender, age at nTMS Neuropsychological profile: restricted vs. general cognitive impairment Language dominance Age at onset of epilepsy Etiology (including resection, PAD and MRI) Estimated number of seizures 6 months prior to nTMS AEDs during nTMS Overlap in epileptogenic and language zones ICI Time from nTMS to ICa Cognition at 6 monthsb Engel at 2 years
1 F 22.2 y Restricted: slight disturbances in verbal functioning IAP: positive bilateral 9.3 y Mild FCD in the left anterior temporal lobe, MRI normal 96 DS OXC, CLB, PG No Grid +1.1 mo 0 4
2 M 9.4 y Restricted: slight executive difficulties fMRI: left 3.4 y Suspected FCD in the left posterior insula in MRI, not resected 72 MS OXC, VPA No SEEG +0.4 mo Not resected Not resected
3 F 24.0 y Restricted: slight executive difficulties fMRI: left 8.1 y Ganglioglioma G1 in the left lateral frontal lobe, MRI positive 80 DS LTG, ZON, VPA, CZP Yes Grid +4.8 mo + 1d
4 F 15.3 y General: slightly below average with executive functioning most impaired fMRI: left 1 y FCD2a in the frontolateral and ‐basal cortex and anterior insula, MRI normal 200 MS OXC, ZON, LAC No Grid, SEEG −24.4 mo; +1.1 mo 0 4b
5 F 14.2 y Restricted: verbal functioning severely below average fMRI: left 9 y PAD normal in left anterior temporal resection sparing HC, MRI normal 360 DS OXC, LEV No Grid, SEEG +3.4 mo; +16.0 m 0 4b
6 M 19.0 y General: severely below average with very effortful speech production IAP: at least right (left injection only) fMRI: right or bilateral 0.5 y Extensive atrophy of the left temporo‐occipital region caused by perinatal herpes encephalitis, MRI positive 2 GTCS, 20 DS OXC, CLB No lateral language finding SEEG −4.5 mo + 1c
7 F 24.7 y Restricted: slight disturbances in verbal functioning IAP: left fMRI: left 14.3 y FCD1b in the left anterior temporal lobe, MRI normal 180 DS CBZ, PG, VPA No lateral language finding SEEG +6.7 mo 0 1c
8 F 10.6 y General: slightly below average fMRI: bilateral 5.5 y FCD1 at the left temporo‐parietal border near insular cortex, MRI positive 70 DS LEV, OXC, AZM No Grid +17.1 mo 0 1a
9 M 18.7 y General: severely below average with verbal functioning most impaired IAP: bilateral, predominant left (weak effect to the left) 1.7 y PAD normal in left temporo‐parietal resection, MRI normal 6 GTCS, 12 DS LAC, OXC, AZM Yes Grid +2.2 mo 4a
10 M 9.1 y General: severely below average with verbal and executive functioning most impaired IAP: bilateral, predominant left, fMRI: bilateral 0.5 y FCD1c in the left temporal lobe, MRI positive 700 SS VPA, RUF Yes Grid +7.6 mo + 4
11 F 16.3 y Restricted: slight executive difficulties fMRI: bilateral 5 y Tuberous sclerosis, a left insular/fronto‐opercular tuber suspected epileptogenic, not resected 90 DS, 90 MS OXC, VPA, VGB No SEEG +6.7 mo Not resected Not resected
12 M 13.3 y Restricted: verbal functioning slightly below average fMRI: left 2.8 y FCD2a in left frontolateral resection, MRI normal 16 MS OXC, VPA Yes SEEG +2.2 mo 1a
13 M 12.4 y Restricted: severe naming difficulties fMRI: left 0.4 y Insufficient sample for PAD in left temporal resection, MRI normal 12 DS, 2 MS, 12 A CLB, VPA Yes Grid, SEEG ‐3.9 mo; ‐1.8 mo 0 3a
14 M 14.5 y Restricted: slight verbal difficulties fMRI: left 12.8 y FCD1b in left frontal resections, MRI normal 24 DS OXC,ZON, LEV Yes SEEG, SEEG +0.7 mo 0 P
15 M 17.0 y General: visual cognition mostly within normal range, other domains severely below average fMRI: Right or bilateral 13.4 y MRI normal, not resected 24 DS OXC, LEV, VPA No language finding SEEG +6.4 mo Not resected Not resected
16 M 13.3 y General: extremely low functioning with verbal and executive functioning most impaired Not done 5.9 y FCD1b in the left parietal cortex, MRI normal 40 DS VPA, OXC, CLB Yes SEEG, SEEG, Grid −8.1 mo; −2.9 mo; +3.0 mo 4
17 M 14.0 y Restricted: slight executive and verbal difficulties fMRI: left 4.4 y MRI normal, not resected 10 MS OCX, VPA, CLN No language finding, epileptogenic zone unspecified SEEG +9.8 mo Not resected Not resected
18 M 16.3 y General: severely below average with executive functioning most impaired fMRI: left 2.8 y FCD2 in left frontobasal resection, MRI normal 180 DS VPA, LTG, LAC Yes SEEG +6.9 mo P
19 M 32.2 y Restricted: slight disturbances in non‐verbal functioning fMRI: left 24.5 y MRI normal, not resected 30 DS, 150 A PG, LEV, OXC Yes SEEG −2.9 mo Not resected Not resected
20 F 9.8 y General: extremely low functioning with verbal and executive functioning most impaired fMRI: left 1.8 y MRI normal, not resected 900 MS OXC, VPA, CLN No language finding, epileptogenic zone unspecified SEEG −37.1 mo Not resected Not resected

A, aura; AED, antiepileptic drug; AZM, acetazolamide; CBZ, carbamazepine; CLB, clobazam; F, female; FCD, focal cortical dysplasia; fMRI, functional magnetic resonance imaging; G, gradus; GTCS, generalized tonic‐clonic seizure; HC, hippocampus; IAP, intracarotid amobarbital procedure; ICI intracranial investigations; LAC, lacosamide; LEV, levetirasetam; LTG, lamotrigine; mo, months; MRI, magnetic resonance imaging; MS, motor seizure; nTMS, navigated transcranial magnetic stimulation; OXC, oxcarbazepine; P, pending; PAD, pathological diagnosis; PGB, pregabaline; M, male; DS, dyscognitive seizure; RUF, rufinamide; SEEG, stereo‐electroecephalogram; SS, series of epileptic spasms; nTMS, navigated transcranial stimulation; VGB, vigabatrin; VPA, valproate; y, years; ZON, zonisamide

a

Positive number = nTMS prior to IC; negative number = nTMS after IC

b

0: no postoperative change; −: notable postoperative decline; +: notable postoperative improvement