012  Structural connectivity informed stereoelectroencephalography (SEEG) electrode targeting in suspected pseudotemporal and temporal plus epilepsy

Long-term seizure-free outcome failure following Antero-Mesial Temporal (AMT) resection in drug-resistant Mesial Temporal Lobe Epilepsy (MTLE) patients may arise from extra-temporal regions termed pseudotem- poral epilepsy (pTLE) or alternatively, the epileptogenic zone may extend beyond the AMT termed tem- poral-plus epilepsy (T+E). Insula (INS), Orbito-Frontal (OF) cortex, cingulum (CI), temporo-parieto-occipital junction are Candidate Brain Regions (CBRs) that can be involved.Stereoelectroencephalography (SEEG) can distinguish T+E and pTLE from MTLE if the electrodes are accu- rately placed to sample the CBRs. We study the structural connectivity from the amygdalohippocampal complex (AHC) to sub-segmented parcels of the CBRs to identify differential connectivity that may guide SEEG planning. Whole-brain connectomes were generated in 25 patients with hippocampal sclerosis (12 right) that underwent SEEG. Connectivity of the AHC was calculated as a normalized t-score map and the regions with the greatest connectivity are shown in Table 1.Results suggest parcels of the CBRs show preferential connectivity to the AHC which occasionally differ between the left and right HS. Further studies are required to identify if structural connectivity-based SEEG- targeting can improve the detection of pTLE and T+E.khosropanahpegah7@gmail.com31