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We present case of a patient with epilepsy arising from cortical dysplasia in his precentral gyrus.The lesion was resected based on the results of video-ECoG (electrocorticograph) monitoring and electrical cortical stimulation.The patient has been seizure free for 1 year since operation and no neurological deficits have been observed.We discuss about the possible mechanisms of cortical reorganization in this patient and the features of focal cortical dysplasia (FCD) IIb in eloquent cortices.