Contribution of cortical mapping in the surgical therapy of neocortical extra temporal epilepsy

Abstract

the evolution of neuroimaging methods has given a huge boost in the diagnosis and treatment of diseases of the Central nervous system and thus also in the application of surgical treatment of epilepsy. however, we should have a careful assessment of their findings which are still indirect and confirmatory. we present the case of a patient with symptomatic drug-resistant partial epilepsy, in whom the epileptogenic zone was in close relation with the primary motor area. Preoperative imaging evidence was in favour of surgical treatment. nevertheless, neurophysiological intervention revealed the involvement of motor areas in the epileptogenic zone, so the surgery was prevented. Despite the important and major applications of