Epileptic Slow Wave Activity
In recent years, novel markers for the epileptic network beyond interictal spikes and ictal seizure correlates have been described. Slow activity in theta, delta, and lower frequency ranges have been detected using invasive electroencephalography (EEG) and noninvasive magnetoencephalography (MEG)/EEG. While such activity also occurs that is associated, for example, with large lesions and after intracranial surgery, certain subtypes may be used to localize the epileptic network. This chapter provides an overview of MEG slow frequency markers in patients with focal epilepsy. It covers the application of slow activity–based focus localization in patients undergoing workup for epilepsy surgery and discusses the relation to conventional spike-based analysis as well as the potential value of slow activity analysis in patients with previous surgery and persisting or recurring seizures.