Jesper Jeppesen

Non-electroencephalography-based seizure detection

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Purpose of reviewThere is need for automated seizure detection using mobile or wearable devices, for objective seizure documentation and decreasing morbidity and mortality associated with seizures. Due to technological development, a high number of articles have addressed non-electroencephalography (EEG)-based seizure detection. However, the quality of study-design and reporting is extremely heterogeneous. We aimed at giving the reader a clear picture on the current state of seizure detection, describing the level of evidence behind the various devices.Recent findingsFifteen studies of phase-2 or above, demonstrated that non-EEG-based devices detected generalized tonic-clonic seizures (GTCS) with high sensitivity (≥90%) and low false alarm rate (FAR) (down to 0.2/day). We found limited evidence for detection of motor seizures other than GTCS, mostly from subgroups in larger studies, targeting GTCS. There is little evidence for non-EEG-based detection of nonmotor seizures: sensitivity is low (19-74%) with extremely high FAR (50-216/day).SummaryDetection of GTCS is reliable and there are several, validated devices on the market. However, detection of other seizure types needs further research.

OriginalsprogEngelsk
TidsskriftCurrent Opinion in Neurology
Vol/bind32
Nummer2
Sider (fra-til)198-204
Antal sider7
ISSN1350-7540
DOI
StatusUdgivet - 1 apr. 2019

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