Jesper Jeppesen

Non-electroencephalography-based seizure detection

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

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.

TidsskriftCurrent Opinion in Neurology
Sider (fra-til)198-204
Antal sider7
StatusUdgivet - 1 apr. 2019

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