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Performance of the 5‐SENSE score in a pediatric and young adult cohort of 100 consecutive stereoelectroencephalography cases.

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Title: Performance of the 5‐SENSE score in a pediatric and young adult cohort of 100 consecutive stereoelectroencephalography cases.
Authors: Trank, Lindsey (AUTHOR), Weber, Amanda R. B. (AUTHOR), Beatty, Christopher (AUTHOR), Brown‐Mitchell, Gabrielle (AUTHOR), Eisner, Mariah (AUTHOR), Pindrik, Jonathan (AUTHOR), Shaikhouni, Ammar (AUTHOR), Ostendorf, Adam (AUTHOR)
Source: Epilepsia (Series 4). May2026, Vol. 67 Issue 5, pe54-e59. 6p.
Subjects: Sensitivity & specificity (Statistics), Electroencephalography, Treatment effectiveness, Diagnosis, Partial epilepsy, Childhood epilepsy
Abstract: This study assesses the validity of the 5‐SENSE score in a cohort of pediatric patients with epilepsy and evaluates associations between the score, ancillary testing, and surgical outcomes. We retrospectively calculated the 5‐SENSE score in a single‐center predominantly pediatric cohort and calculated the sensitivity and specificity for predicting a non‐focal stereo‐electroencephalography (SEEG). In addition, we examined the relationship between score and post‐surgical outcome. Finally, we evaluated the association between ancillary testing and SEEG focality. One hundred cases were included. The 5‐SENSE score had a sensitivity (95% confidence interval [CI]) of 49% (35.6–62.2), specificity of 75% (63.6–85.5), and area under the curve of 0.673 (0.567–0.780). The sensitivity and specificity were similar in children 13 years or younger compared to those older than 13 years. Ancillary testing lateralized in agreement with a focal SEEG finding in 61% of patients, with sensitivity of 43% and specificity of 76% (p = 0.045). Ancillary testing confirmed the 5‐SENSE score but did not significantly improve sensitivity. Higher 5‐SENSE scores were associated with better Engel outcomes (p = 0.037). The 5‐SENSE score performed comparably to the published adult validation cohort. Use of the 5‐SENSE score in pediatric patients may improve patient selection for SEEG but is not a sole predictor of result or outcome. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:This study assesses the validity of the 5‐SENSE score in a cohort of pediatric patients with epilepsy and evaluates associations between the score, ancillary testing, and surgical outcomes. We retrospectively calculated the 5‐SENSE score in a single‐center predominantly pediatric cohort and calculated the sensitivity and specificity for predicting a non‐focal stereo‐electroencephalography (SEEG). In addition, we examined the relationship between score and post‐surgical outcome. Finally, we evaluated the association between ancillary testing and SEEG focality. One hundred cases were included. The 5‐SENSE score had a sensitivity (95% confidence interval [CI]) of 49% (35.6–62.2), specificity of 75% (63.6–85.5), and area under the curve of 0.673 (0.567–0.780). The sensitivity and specificity were similar in children 13 years or younger compared to those older than 13 years. Ancillary testing lateralized in agreement with a focal SEEG finding in 61% of patients, with sensitivity of 43% and specificity of 76% (p = 0.045). Ancillary testing confirmed the 5‐SENSE score but did not significantly improve sensitivity. Higher 5‐SENSE scores were associated with better Engel outcomes (p = 0.037). The 5‐SENSE score performed comparably to the published adult validation cohort. Use of the 5‐SENSE score in pediatric patients may improve patient selection for SEEG but is not a sole predictor of result or outcome. [ABSTRACT FROM AUTHOR]
ISSN:00139580
DOI:10.1002/epi.70214