The ventral precuneal‐posterior cingulate region as a site of epileptogenicity

Abstract The ventral precuneal and posterior cingulate area (VP‐PC) represents a distinct but topographically variable mesial parietal site of epileptogenicity that may manifest as a common temporal lobe‐mediated ictal expression. In a review of records of 62 presumptive epilepsy surgery cases, two cases of primary epileptogenicity expressed within the VP‐PC were identified and are detailed to bring attention to this electroencephalographically‐hidden area of ictal expression. Details of their investigation and surgical treatment illustrate distinctly different approaches addressing the problem and bringing about a seizure‐free outcome.