Postictal generalized EEG suppression is usually determined with scalp EEG (s-PGES).
Local brain activity in deeper brain structures may be missed.
Intracranial EEG was examined in generalized convulsive seizures (GCS) with s-PGES.
In most GCS, local brain activity persisted or reemerged before s-PGES resolved.
Potential implications for the pathophysiology of SUDEP are discussed.