Evidence map›Paper›PMID 42232417›Full record

ArticleSurgical neurology international2026

Network-guided resection of magnetic resonance imaging-negative mesial temporal epilepsy using gamma oscillation regularity-based transfer entropy analysis.

Yosuke Sato

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In one paragraph

Article in Surgical neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Yosuke SatoDepartment of Neurosurgery, Showa Medical University, Hatanodai, Shinagawa-Ku, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Medically refractory, magnetic resonance imaging (MRI)-negative mesial temporal lobe epilepsy presents a diagnostic challenge, often leading to difficulties in localizing the epileptogenic zone and planning effective surgical strategies. Case Description: We present a case in which complementary preoperative and intraoperative electrophysiological analyses identified an occult epileptogenic focus. Preoperative high-density scalp electroencephalogram evaluated with gamma oscillation regularity (GOR) analysis localized a putative epileptogenic region adjacent to the hippocampus. Guided by this localization, intraoperative electrocorticography was analyzed using GOR-based transfer entropy (TE). This mapping revealed a compact hub of consistent outgoing directed information flow localized to the parahippocampal gyrus. The surgical strategy targeted the GOR-based TE-defined parahippocampal focus and its immediate efferent connections while preserving the hippocampus. The patient remains seizure-free with preserved neurocognitive function at follow-up. Conclusion: This case demonstrates that preoperative GOR analysis can noninvasively direct focused intraoperative network interrogation and that GOR-based TE-derived directed connectivity mapping can unmask mesial temporal epileptogenicity in MRI-negative cases, thereby guiding effective, tissue-sparing resections.

Indexed as

ElectroencephalogramEpilepsy surgeryGamma oscillation regularityTemporal lobe epilepsyTransfer entropy

Identifiers

PMID42232417
PMCPMC13224280

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.