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Updated: Jul 19, 2026

Recording Human Electrocorticographic (ECoG) Signals for Neuroscientific Research and Real-time Functional Cortical Mapping
Published on: June 26, 2012
EEG is an essential clinical tool: pro and con
Nathan B Fountain1, John M Freeman
1Comprehensive Epilepsy Program, University of Virginia, Charlottesville, Virginia 22908, USA. nbf2p@virginia.edu
Abstract:
The authors debate whether routine EEG is an essential clinical tool for evaluation of a first seizure. One author suggests that because of the positive predictive value of interictal spikes for seizure recurrence, the EEG is a useful tool. The other author argues that since many clinicians would not treat after a single seizure, even if the EEG were abnormal, the EEG is not essential. Both authors agree that the EEG should only be ordered with forethought to answer a specific question.
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