Do we still need invasive recordings? If so for how much longer?

Area of Science:

• Pediatric Neurosurgery
• Epileptology
• Intraoperative Neurophysiology

Background:

• This paper discusses a pragmatic approach to epilepsy surgery presented at the International Society for Pediatric Neurosurgery Meeting.
• It addresses challenges in localizing the epileptogenic zone when non-invasive pre-surgical evaluations are unsuccessful.

Observation:

• The presented strategy is based on the clinical experience of a multi-disciplinary team.
• It focuses on cases requiring advanced methods for precise localization of the seizure focus.

Findings:

• The approach offers a practical solution for complex epilepsy cases.
• It emphasizes the importance of a coordinated team effort in surgical planning.

Implications:

• This methodology can guide neurosurgical teams in optimizing pre-surgical evaluations.
• It aims to improve surgical outcomes for children with difficult-to-localize epilepsy.