Electrocorticography and stimulation (original) (raw)

Electrocorticography (ECoG) plays a critical role in epilepsy surgery, yet its efficacy and interpretive criteria remain under debate. This paper reviews literature and personal studies concerning ECoG's value in identifying the irritative zone, predicting surgical outcomes, and guiding resections. Key findings suggest that complete resection of the irritative zone is not always essential for achieving satisfactory seizure control, and that a more nuanced understanding of the topography and characteristics of ECoG discharges may enhance surgical planning and outcomes.