Experiences of awake surgery in non-tumoural epilepsy in eloquent localizations

Abstract Background Whilst modern awake intraoperative mapping has been widely accepted and implemented in the last decades in neuro-oncology, sparse reports have been published on the safety and efficiency of this approach in epilepsy surgery. Method This article report four cases with different locations of epileptogenic zones as examples of possible safe and efficient resections. Result The results of the resections on seizure control were Engel 1 (no seizures) in all cases and no patient experienced significant neurological deficits. Discussion The discussion focuses on aspects of the future of epilepsy surgery in a hodotopical paradigm.