Finding Lateralizing value (PPV) Mechanism
Interictal EEG in TLE 75% Activation 
Ictal EEG in TLE 80-92% Activation 
Ictal EEG + Semiology in TLE 95% _________
Interictal EEG in ETE 50-66% Activation 
Ictal EEG in ETE Variable  Activation 
CT scan abnormality Variable  Lesion
MRI abnormality 86-100%  Lesion
Interictal PET abnormality ~ 90% Hypometabolism
Ictal SPECT abnormality > 95%  Hyperperfusion
Interictal SPECT abnormality  > 80% Hypoperfusion
Wada test in TLE** 85% Memory asymmetry
*Depends on the type of EEG recording. **Only in TLE.
PPV: Positive Predictive Value; TLE: Temporal Lobe Epilepsy; ETE: Extratemporal Epilepsy; EEG: Electroencephalography; CT: Computed Tomography; MRI: Magnetic Resonance Imaging; PET: Positron Emission Tomography; SPECT: Single Photon Emission Computed Tomography
Table 6: Lateralizing and localizing paraclinical findings in focal epilepsies.