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We describe a patient with drug\u2010resistant temporal lobe epilepsy in whom a hippocampal remnant was continuously monitored using a responsive neurostimulator (RNS) following subtotal hippocampal resection. Postoperative electrocorticography demonstrated persistent electrographic status epilepticus for 3\u2009days, followed by a transient 5\u2010day quiescent period and delayed recurrence of electrographic and clinical seizures on postoperative day eight. This case provides rare, real\u2010time insight into the dynamic temporal evolution of residual hippocampal excitability after surgery and offers a potential mechanistic explanation for delayed postoperative seizure recurrence following incomplete hippocampal resection.<\/jats:p>","DOI":"10.1002\/acn3.70413","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T06:25:45Z","timestamp":1777011945000},"page":"1507-1511","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Tale of the Residual Tail: Insights From Continuous Intracranial Monitoring From Post\u2010Hippocampectomy Dynamics"],"prefix":"10.1002","volume":"13","author":[{"given":"Patrick","family":"Hartnett","sequence":"first","affiliation":[{"name":"Department of Neurology Hartford Healthcare  Hartford Connecticut 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