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January 18, 2022

The End Justifies the Means—A Call for Nuance in the Increasing Nationwide Adoption of Stereoelectroencephalography Over Subdural Electrode Monitoring in the Surgical Evaluation of Intractable Epilepsy

Author Affiliations
  • 1Department of Neurosurgery, Children’s National Hospital, Washington, DC
  • 2Department of Neurology, Children’s National Hospital, Washington, DC
  • 3Department of Neurology, The George Washington University Hospital, Washington, DC
JAMA Neurol. 2022;79(3):221-222. doi:10.1001/jamaneurol.2021.4994

In recent times, epileptology has witnessed many technological advances in diagnostic and therapeutic paradigms. Therefore, the practicing epileptologist requires a profound understanding of the roles of these different technologies and how to integrate both traditional and emerging paradigms to optimize seizure control.1 This issue is particularly relevant to choosing the best method of invasive intracranial electroencephalography monitoring in individual cases. Despite the dramatic increase in stereoelectroencephalography (SEEG) use in recent years, many patients still benefit from invasive monitoring using subdural grids. Therefore, it is important to define the considerations that should guide decision-making on the choice of SEEG vs subdural monitoring in each patient.

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