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Of those with SIS undergoing surgery (n = 13), seizure freedom was achieved in 61.5%, and of those with SIS undergoing surgery (n = 1, 40% became seizure free (ns). Electroclinical SIS occur in about a quarter of CS for functional mapping; SIS are habitual in the majority of cases, and where elicited, SIS in icEEG could be an additional diagnostic tool to localize the seizure onset zone. However, a significant minority of stimulations lead to non-habitual SIS. Electroclinical SIS occur in about a quarter of CS for functional mapping