Hernan Nicolas Lemus

CONFLICT OF INTEREST STATEMENT L.J.B. receives funding for grants unrelated to this work from the National Institute on Aging (R01NS130119, K23 AG080163). N.J. receives funding for grants unrelated to this work from NINDS (R01NS130119; 4R00HD106060-03). She also receives an honorarium for her work as an associate editor of Epilepsia. None of the other authors has any conflict of interest to disclose.

Abstract Background and Objectives To assess the scope of surgical epilepsy exposure and training among fellows in Epilepsy and Clinical Neurophysiology (CNP) fellowship programs in the United States. Characteristics associated with increased fellow involvement in epilepsy surgery were evaluated. Methods A 10-question multiple-choice survey was designed to characterize individual fellowship programs, epilepsy surgery programs, trainee involvement, and assessment of trainee performance.

A 31-year-old woman with severe childhood-onset dysmotility syndrome was admitted for encephalopathy and seizures. Video EEG demonstrated electrographic seizures of multifocal onset refractory to multiple antiseizure medications (figure 1, A and C). MRI of the brain revealed multiple hyperintensities (figure 1B) that progressed (figure 1D). Infectious, immunologic, and neoplastic workup was unremarkable.