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Stereoelectro-
encephalography
(sEEG)

Stereoelectroencephalography (sEEG) is a specialized test that records brain activity from inside the brain to help identify where seizures begin.

  • Epilepsy & Seizures Program

    We have decades of experience caring for patients with Epilepsy, pioneering minimally invasive treatments and leading research for new treatments to improve patient outcomes.

What Is Stereoelectro-
encephalography (sEEG)?

Stereoelectroencephalography, also called sEEG, is a procedure used to record electrical activity from deep inside the brain. It uses thin electrodes that are placed in carefully selected areas to help physicians understand where seizures start and how they spread.

sEEG is most often considered for people with epilepsy whose seizures are difficult to control or when noninvasive testing has not clearly shown the seizure source. The information gathered during sEEG can help guide next steps in care, including whether another treatment may be appropriate.

What Is Stereoelectro-<br/>encephalography (sEEG)?

Why Choose Baptist Health?

Baptist Health Brain & Spine Care provides coordinated evaluation for people with complex seizure disorders. For patients being considered for sEEG, care often involves neurologists and neurosurgeons working together to review symptoms, brain imaging, EEG findings and treatment history.

Because sEEG is used to answer highly specific questions about seizure location, patients benefit from a careful, step-by-step approach. Experts at Baptist Health focus on personalized planning, clear communication and treatment decisions based on each patient’s needs and test results.

Why Choose Baptist Health?

How It Works

sEEG records brain signals directly from inside the brain using very thin electrodes. These electrodes are placed through small openings in the skull using advanced planning and imaging guidance. Once in place, they track seizure activity in areas that may be hard to evaluate with testing done only from outside the head.

The goal is to create a more detailed map of where seizures begin and how they move through the brain. This information may help physicians decide whether surgery, laser therapy, neurostimulation or another treatment should be considered.

Who May Benefit

sEEG may be recommended for people whose seizures continue despite medication, or when standard tests do not clearly identify the seizure focus, which is the area where seizures start.

It may also help when more than one area of the brain could be involved, or when the suspected seizure source is near brain regions that control speech, movement, memory or sensation. A full evaluation is needed to determine whether sEEG is appropriate.

Benefits and Risks

sEEG can offer a more detailed understanding of where seizures begin, even if they originate in deep or hard-to-reach brain regions. This added precision may help physicians make more informed decisions about next steps in treatment planning.

Potential risks vary based on the areas being studied and each patient’s overall health. As with other invasive procedures, risks may include:

  • Bleeding
  • Infection
  • Swelling
  • Pain
  • Anesthesia-related risks
  • Neurological complications

What to Expect

  • Before sEEG, patients typically have a detailed epilepsy evaluation that may include office visits, imaging and EEG testing. Physicians review prior results, symptoms, medications and goals of care. Patients also receive instructions about eating, drinking, medications and hospital preparation before the procedure.

  • During sEEG, thin electrodes are placed in targeted areas of the brain. After placement, patients are closely monitored while brain activity is recorded over time. The care team watches for seizure patterns and studies how seizures begin and spread.

  • After monitoring is complete, the electrodes are removed. Patients continue recovery under medical supervision, and the care team reviews the results to discuss next steps. Those next steps may include medication changes, additional testing or discussion of other epilepsy treatments, depending on the findings.

Recovery

Recovery can vary based on the length of monitoring, the number of electrodes used and each patient’s overall health. Patients may have temporary soreness or fatigue after the procedure and hospital stay. Specific recovery instructions, activity guidance and follow-up plans should be confirmed with the treating team.

Meet Our Director

Frequently Asked Questions

  • It is used to help pinpoint where seizures begin in the brain. This can be especially helpful when seizures are hard to control or when standard tests do not provide a clear answer.

  • No. A regular EEG records brain activity from electrodes placed on the scalp. sEEG records activity from electrodes placed inside the brain, which can provide more detailed information in selected cases.

  • People with epilepsy that remains uncontrolled with medication may be considered. It may also be recommended when seizure activity is difficult to localize with imaging or scalp EEG alone. Final candidacy depends on a full medical evaluation.

  • sEEG is primarily a diagnostic procedure. Its purpose is to gather detailed information that can help physicians decide whether another epilepsy treatment may be appropriate.

  • The length of monitoring varies. Some patients may need only a short period, while others may need several days so the care team can capture enough seizure activity to answer key questions.

  • Possible risks include bleeding, infection, swelling, pain and complications related to anesthesia or the brain areas being studied. Your physician will explain the specific risks and benefits based on your situation.

  • Yes, patients are usually monitored in the hospital after the electrodes are placed so the care team can safely record brain activity and respond if a seizure occurs.

  • After the electrodes are removed, your care team reviews the findings and discusses next steps. Depending on the results, this may include medication adjustments or planning for another epilepsy treatment.

Our Location

Our Epilepsy & Seizures program connects patients with expert care at Baptist Health Kenneth C. Griffin Neuroscience Institute and Marcus Neuroscience Institute.

Brain & Spine Care | Kendall (Suite 400W)
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Brain & Spine Care | Kendall (Suite 400W)

8950 North Kendall Dr., Ste. 400W, Miami, FL 33176

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