Overnight TI in TLE

Exclusion Criteria

• •Generalized epilepsy syndromes or primary generalized seizures
• •Recent status epilepticus, seizure clusters requiring emergency intervention, or other features indicating unacceptable risk for monitored participation
• •Uncontrolled psychiatric illness (e.g., acute psychosis, severe untreated depression with high suicide risk)
• •Implanted electronic or metallic devices incompatible with TI (e.g., certain pacemakers, cochlear implants) as per device manual
• •Severe obstructive sleep apnea requiring immediate CPAP initiation and not yet treated
• •Dermatologic disease at electrode sites or known contact allergy to electrode materials
• •Pregnancy or breastfeeding
• •Concurrent enrollment in other interventional neuromodulation or pharmacological trials likely to confound EEG or sleep outcomes