TO THE EDITOR: We read with great interest Scavarda et al.’s2 description of a new disconnection technique guided by stereoelectroencephalography (SEEG) for stroke-induced refractory epilepsy (Scavarda D, Cavalcante T, Trébuchon A, et al: Tailored suprainsular partial hemispherotomy: a new functional disconnection technique for stroke-induced refractory epilepsy. J Neurosurg Pediatr 22:601–609, December 2018). The procedure was performed on 6 patients and resulted in a postoperative Engel class IA outcome (mean follow-up of 28 months).
We would like to express some criticisms on the rationale behind the choice of the surgical procedure. Vascular problems sustained in