The recorded voltage changes reflect electrical activity associated with synchronized neuronal activity beneath or near the electrode contacts. Because the electrodes sit on the cortical surface, the signal does not pass through the skull and scalp before measurement. This preserves finer spatial information, allowing investigators to relate activity more closely to specific cortical regions and functional processes.
The key distinction is the recording position. Electrocorticography Recording samples activity at the cortical surface, whereas electroencephalography measures signals from outside the skull and scalp. The intervening tissues can distort or reduce spatial detail in scalp recordings. Consequently, ECoG is particularly useful when researchers or clinicians need higher-resolution information about where cortical activity occurs.
Localization connects an electrical pattern with a region of the cerebral cortex. This relationship helps investigators examine how cortical areas participate in sensory processing, cognition, language, or motor control. It also gives clinical teams information about the cortical regions associated with seizure generation, making spatial interpretation a central advantage rather than merely an added feature of the recording.
The essential workflow is to place electrodes on the cortical surface, detect voltage changes produced by cortical activity, and interpret the resulting patterns in relation to the study or clinical question. In practice, the recording is not interpreted in isolation: its value comes from linking measured activity with cortical location and with functions such as movement, language, sensation, or seizure generation.
Clinicians use these recordings to localize regions that generate seizures and to support surgical planning. The clinically important outcome is therefore spatial: the data can help identify which cortical areas are associated with seizure activity. This information provides a neurophysiological basis for planning, rather than relying only on a general measure of brain electrical activity.
Brain-computer interface studies use cortical activity as a link between neural signals and an external device. ECoG recordings can provide activity related to movement or other brain functions, which researchers can study when developing systems for communication or movement assistance. The broader goal is to translate interpretable cortical patterns into device control or other useful outputs.