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Chunk #4 — Materials and Methods — Subjects

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Independent delta/theta rhythms in the human hippocampus and entorhinal cortex.
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The patients analyzed in this study were selected from an original group of 40 patients with strictly unilateral pharmacoresistant MTL epilepsy who underwent invasive presurgical evaluation between 1993 and 2000 and for whom at least 15 min of seizure-free recordings were archived. Of these 40 patients, only 22 patients (15 women; mean age 32.1 ± 5.5 years) passed our inclusion criterion of having two or more electrode contacts in the entorhinal cortex adjacent to two or more contacts in the hippocampus in the hemisphere contralateral to the epileptic focus (see next section). In seven patients seizures originated exclusively from the right MTL; in 15 patients exclusively from the left MTL. After resection of the epileptic MTL, all patients remained seizure-free (follow-up at least 6 months, mean: 3.3 years). In all patients, pre-implantational MRI showed unilateral hippocampal sclerosis, which was confirmed by histopathological examination of the resected tissue. All additional non-invasive diagnostic findings were concordant with the MRI diagnosis. No additional pathology was indicated. At the time of clinical evaluation of these patients, intracranial electrode implantation was deemed necessary to confirm