“…The thalamus, which has important roles in seizure initiation, propagation and modulation of focal seizures ( Blumenfeld et al, 2009 , Guye et al, 2006 , Filipescu et al, 2019 , Wykes et al, 2019 , Keller et al, 2015 , Caciagli et al, 2020 , He et al, 2020 ), may be a crucial structural hub as an imaging marker of pharamacoresistance or FBTCS. Studies in genetic generalized epilepsy have demonstrated altered thalamic connectivity ( Sinha et al, 2019 , Wang et al, 2019a , Wang et al, 2019b ), which measured shortly after diagnosis, could be related to AED treatment outcomes ( Wang et al, 2019a , Wang et al, 2019b ). Longstanding focal epilepsy with poor post-surgical outcome has been linked to altered thalamocortical connections using probabilistic tractography ( Keller et al, 2015 ) and connectomics where temporal and parietal networks have been shown to be altered in patients with persistent seizures ( Bonilha et al, 2013 ).…”