Abnormal activity in the brain can be detected by identifying changes in tissue excitability measured in response to stimulation of
fiber tracts such as the
corpus callosum. A stimulating
electrode contact can apply a stimulation to the
fiber tract, which can have one or more terminals to a cortex of a patient's brain, and a
recording electrode contact positioned in the
fiber tract and / or the cortex to
record a tissue excitability response to the stimulation. A controller can receive the tissue excitability response from the at least one
recording electrode, identify a parameter of the tissue excitability response, and predict the abnormal activity in the patient's brain based on the parameter being different from a baseline for the parameter. When an abnormal activity is predicted the patient can be alerted to start a therapy and / or a therapy can be applied in
closed loop manner by a connected therapy device.