We analyzed retrospectively the clinical and EEG data in 13 patients w
ith simple partial seizures (SPS). All EEGs were recorded with surface
electrodes with the standard 10-20 system and additional closely spac
ed scalp and subfrontotemporal skin electrodes. Seventy-seven seizures
were recorded. We detected electrographic correlates with SPS in 10 o
f 13 patients (77%) and in 47 of 77 seizures (61%). The most common ic
tal correlates were rhythmic theta waves or spikes. Of the SPS with EE
G changes, 58% were motor, 14% were sensory, and 28% were psychic seiz
ures. Use of additional electrodes and recording channels may account
for the higher incidence of EEG changes in this study than has been re
ported previously in the literature.