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Refractory epilepsy secondary to anti-GAD encephalitis treated with DBS post SEEG evaluation: a novel case report based on stimulation findings Volume 20, numéro 5, October 2018

Figure 1

(A) Left hippocampus seizure with large-amplitude discharge, paroxysmal fast activity, and local propagation. (B) Right hippocampus seizure with repetitive spiking into a paroxysmal fast activity with local propagation to the amygdala and temporal lobe; note the lack of left hippocampal activity during the seizure. (C) Stimulation and seizure termination.

Figure 2

Reduction in number of seizures per month with escalation of therapy: prior to medical optimisation with anti-epileptics and further immunosuppression, one month prior to DBS insertion, and one month post-DBS activation.