Noninvasive detection of focal seizures in ambulatory patients.

Abstract:

:Reliably detecting focal seizures without secondary generalization during daily life activities, chronically, using convenient portable or wearable devices, would offer patients with active epilepsy a number of potential benefits, such as providing more reliable seizure count to optimize treatment and seizure forecasting, and triggering alarms to promote safeguarding interventions. However, no generic solution is currently available to reach these objectives. A number of biosignals are sensitive to specific forms of focal seizures, in particular heart rate and its variability for seizures affecting the neurovegetative system, and accelerometry for those responsible for prominent motor activity. However, most studies demonstrate high rates of false detection or poor sensitivity, with only a minority of patients benefiting from acceptable levels of accuracy. To tackle this challenging issue, several lines of technological progress are envisioned, including multimodal biosensing with cross-modal analytics, a combination of embedded and distributed self-aware machine learning, and ultra-low-power design to enable appropriate autonomy of such sophisticated portable solutions.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Ryvlin P,Cammoun L,Hubbard I,Ravey F,Beniczky S,Atienza D

doi

10.1111/epi.16538

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

S47-S54

eissn

0013-9580

issn

1528-1167

journal_volume

61 Suppl 1

pub_type

杂志文章,评审
  • Childhood absence epilepsy: behavioral, cognitive, and linguistic comorbidities.

    abstract:PURPOSE:Evidence for a poor psychiatric, social, and vocational adult outcome in childhood absence epilepsy (CAE) suggests long-term unmet mental health, social, and vocational needs. This cross-sectional study examined behavioral/emotional, cognitive, and linguistic comorbidities as well as their correlates in childre...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01680.x

    authors: Caplan R,Siddarth P,Stahl L,Lanphier E,Vona P,Gurbani S,Koh S,Sankar R,Shields WD

    更新日期:2008-11-01 00:00:00

  • Models and mechanisms of experimental epilepsies.

    abstract:PURPOSE:To review the value of experimental models of epilepsy to help us understand the underlying basic neuronal mechanisms. METHODS:The methods addressed here include a variety of acute and chronic experimental epilepsies and their investigation in vitro, in vivo, and in computer simulations. RESULTS:Epileptic dis...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.0013-9580.2003.12004.x

    authors: Jefferys JG

    更新日期:2003-01-01 00:00:00

  • Subtemporal hippocampectomy preserving the basal temporal language area for intractable mesial temporal lobe epilepsy: preliminary results.

    abstract:PURPOSE:Decline in verbal memory as a surgical complication remains an unresolved problem in mesial temporal lobe epilepsy. Some areas in the temporal lobe associated with the language function, often including the basal temporal language area, have been removed or transected by conventional surgical procedures. The au...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00610.x

    authors: Mikuni N,Miyamoto S,Ikeda A,Satow T,Taki J,Takahashi J,Ohigashi Y,Hashimoto N

    更新日期:2006-08-01 00:00:00

  • Infantile spasms in Down syndrome: good response to a short course of vigabatrin.

    abstract:PURPOSE:To evaluate the efficacy of vigabatrin (VGB) in the treatment of infantile spasms (ISs) associated with Down syndrome (DS) and to assess the feasibility of early discontinuation to reduce the possible retinal toxicity. METHODS:Five children with ISs with DS were treated with vigabatrin as first-line monotherap...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1528-1157.2001.13501.x

    authors: Nabbout R,Melki I,Gerbaka B,Dulac O,Akatcherian C

    更新日期:2001-12-01 00:00:00

  • The impact of depression and anxiety disorder symptoms on the health-related quality of life of children and adolescents with epilepsy.

    abstract::This study evaluated the effects of depression and anxiety disorder symptoms on the health-related quality of life (HRQOL) of children and adolescents with epilepsy. Sixty children and adolescents and their parents participated in the study. Symptoms of anxiety disorders were identified by the Screen for Child Anxiety...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03133.x

    authors: Stevanovic D,Jancic J,Lakic A

    更新日期:2011-08-01 00:00:00

  • Length of stay for patients undergoing invasive electrode monitoring with stereoelectroencephalography and subdural grids correlates positively with increased institutional profitability.

    abstract:OBJECTIVE:Lowering the length of stay (LOS) is thought to potentially decrease hospital costs and is a metric commonly used to manage capacity. Patients with epilepsy undergoing intracranial electrode monitoring may have longer LOS because the time to seizure is difficult to predict or control. This study investigates ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13737

    authors: Chan AY,Kharrat S,Lundeen K,Mnatsakanyan L,Sazgar M,Sen-Gupta I,Lin JJ,Hsu FPK,Vadera S

    更新日期:2017-06-01 00:00:00

  • Comparison of the effects of valproate, ethosuximide, phenytoin, and pentobarbital on cerebral energy metabolism in the rat.

    abstract::The acute effects of valproate (200 and 400 mg/kg), ethosuximide (200 and 400 mg/kg), phenytoin (25 and 50 mg/kg), and pentobarbital (30 and 60 mg/kg) on cerebral energy metabolism of rats were studied by measuring the cerebral content of energy metabolites and by evaluating the rate of metabolite utilization followin...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03642.x

    authors: Gueldry S,Rochette L,Bralet J

    更新日期:1987-03-01 00:00:00

  • Use of the ketogenic diet in the neonatal intensive care unit-Safety and tolerability.

    abstract::Drug-resistant epilepsy poses a challenge in neonatal patients, especially those in the neonatal intensive care unit (NICU), who have various secondary comorbidities. We present results of four children with a history of drug-resistant epilepsy for whom a ketogenic diet was initiated and used in the NICU. A nonfasting...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13650

    authors: Thompson L,Fecske E,Salim M,Hall A

    更新日期:2017-02-01 00:00:00

  • Microstructural and functional MRI studies of cognitive impairment in epilepsy.

    abstract::Cognitive impairment is the most common comorbidity in children with epilepsy, but its pathophysiology and predisposing conditions remain unknown. Clinical epilepsy characteristics are not conclusive in determining cognitive outcome. Because many children with epilepsy do not have macrostructural magnetic resonance im...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03624.x

    authors: Braakman HM,van der Kruijs SJ,Vaessen MJ,Jansen JF,Debeij-van Hall MH,Vles JS,Aldenkamp AP,Backes WH,Hofman PA

    更新日期:2012-10-01 00:00:00

  • The natural history of untreated epilepsy in a rural community in Africa.

    abstract::The duration of epilepsy was evaluated in over 460 previously untreated patients who attended newly established epilepsy clinics in a rural area of Malawi. The mean duration at first attendance was 6.5 years. It was found that as the duration of active epilepsy increased, the number of patients having epilepsy of a gi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb01692.x

    authors: Watts AE

    更新日期:1992-05-01 00:00:00

  • Effects of lamotrigine compared with levetiracetam on anger, hostility, and total mood in patients with partial epilepsy.

    abstract:PURPOSE:To assess anger/hostility during treatment with lamotrigine adjunctive therapy versus levetiracetam adjunctive therapy in patients with partial seizures. METHODS:This randomized, double-blind, parallel-group study in adults with partial seizures included an 8-week escalation phase, during which adjunctive lamo...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1528-1167.2008.01792.x

    authors: Labiner DM,Ettinger AB,Fakhoury TA,Chung SS,Shneker B,Tatum Iv WO,Mitchell Miller J,Vuong A,Hammer AE,Messenheimer JA

    更新日期:2009-03-01 00:00:00

  • Increased concentration of prostaglandin E-2 in cerebrospinal fluid of children with febrile convulsions.

    abstract::Concentrations of prostaglandins (PGs) in the central nervous system are known to increase during and after experimentally induced seizures. In the present study, concentrations of PGE-2 were determined by radioimmunoassay in lumbar cerebrospinal fluid (CSF) of 17 children shortly after a febrile convulsion. PGE-2 dat...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb03724.x

    authors: Löscher W,Siemes H

    更新日期:1988-05-01 00:00:00

  • Sodium channel SCN1A and epilepsy: mutations and mechanisms.

    abstract::Mutations in a number of genes encoding voltage-gated sodium channels cause a variety of epilepsy syndromes in humans, including genetic (generalized) epilepsy with febrile seizures plus (GEFS+) and Dravet syndrome (DS, severe myoclonic epilepsy of infancy). Most of these mutations are in the SCN1A gene, and all are d...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2010.02640.x

    authors: Escayg A,Goldin AL

    更新日期:2010-09-01 00:00:00

  • A new potential AED, carisbamate, substantially reduces spontaneous motor seizures in rats with kainate-induced epilepsy.

    abstract:PURPOSE:Animal models with spontaneous epileptic seizures may be useful in the discovery of new antiepileptic drugs (AEDs). The purpose of the present study was to evaluate the efficacy of carisbamate on spontaneous motor seizures in rats with kainate-induced epilepsy. METHODS:Repeated, low-dose (5 mg/kg), intraperito...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01657.x

    authors: Grabenstatter HL,Dudek FE

    更新日期:2008-10-01 00:00:00

  • Atypical language lateralization in epilepsy patients.

    abstract:PURPOSE:To investigate whether atypical language dominance in epilepsy patients is related to localization and type of lesions. METHODS:Four hundred and forty-five epilepsy patients received bilateral Wada testing. Language was classified as left (L), right (R), bilateral-dependent (BD, speech arrest after left and ri...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.02000.x

    authors: Möddel G,Lineweaver T,Schuele SU,Reinholz J,Loddenkemper T

    更新日期:2009-06-01 00:00:00

  • Adenosinergic modulation of homocysteine-induced seizures in mice.

    abstract::Homocysteine thiolactone (HTL) elicits seizures in mice at a dose of 850 mg/kg (95-100% of animals) with an average latency time of 19.5 min. These seizures are reversed by both 5' N-ethylcarboximide adenosine (NECA) and flunitrazepam, with respective ED50 doses of 0.025 and 0.20 mg/kg. NECA was approximately four-fol...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05371.x

    authors: Marangos PJ,Loftus T,Wiesner J,Lowe T,Rossi E,Browne CE,Gruber HE

    更新日期:1990-05-01 00:00:00

  • Malformation in index pregnancy in women with epilepsy is not followed by recurrence in subsequent pregnancy.

    abstract::Use of antiepileptic drugs (AEDs) in pregnant women with epilepsy (WWE) is associated with an increased risk of major congenital malformations (MCM). Previous studies have suggested that WWE who had a malformation in their index pregnancy were at an increased risk of recurrence in future pregnancies. We aimed to asses...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12411

    authors: Begum S,Sarma SP,Thomas SV

    更新日期:2013-12-01 00:00:00

  • Are MRI-detected brain abnormalities associated with febrile seizure type?

    abstract:OBJECTIVE:Whether magnetic resonance imaging (MRI) is informative in febrile seizures (FS) is unknown. We undertook a study to determine the frequency of MRI-detected brain abnormalities and to evaluate their association with FS type and with specific features of complex FS. METHODS:A prospective cohort study, from 19...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01459.x

    authors: Hesdorffer DC,Chan S,Tian H,Allen Hauser W,Dayan P,Leary LD,Hinton VJ

    更新日期:2008-05-01 00:00:00

  • Malignant refractory epilepsy in identical twins mosaic for a supernumerary ring chromosome 19.

    abstract::We report identical twins with supernumerary ring chromosome 19 mosaicism, who had severe refractory epilepsy at an early age. The epilepsy was dominated largely by severe life-threatening tonic seizures. Both twins died, likely as a consequence of their severe epilepsy. They displayed no dysmorphic features. Eight ca...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.00304.x

    authors: Shahwan A,Green AJ,Carey A,Stallings RL,O'Flaherty OC,King MD

    更新日期:2004-08-01 00:00:00

  • Effects of pregnancy on antiepileptic drug utilization.

    abstract::Pregnancy is associated with characteristic changes in the disposition of antiepileptic drugs; recent findings on this aspect of drug utilization are presented. In one study involving 48 pregnancies, the mean level-dose ratio of phenytoin decreased by 34%. In another study of 111 patients, phenytoin clearance increase...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05724.x

    authors: Levy RH,Yerby MS

    更新日期:1985-01-01 00:00:00

  • Antioxidant treatment after epileptogenesis onset prevents comorbidities in rats sensitized by a past stressful event.

    abstract:OBJECTIVE:Unresolved past stressful events can induce a state of vulnerability to epilepsy and comorbidities. Using an experimental model of stress-induced vulnerability to depression, we tested whether an antioxidant treatment applied after the onset of epileptogenesis was disease modifying and could prevent the occur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14692

    authors: Becker C,Mancic A,Ghestem A,Poillerat V,Claverie D,Bartolomei F,Brouillard F,Benoliel JJ,Bernard C

    更新日期:2019-04-01 00:00:00

  • Practice variability and efficacy of clonazepam, lorazepam, and midazolam in status epilepticus: A multicenter comparison.

    abstract:OBJECTIVE:Benzodiazepines (BZD) are recommended as first-line treatment for status epilepticus (SE), with lorazepam (LZP) and midazolam (MDZ) being the most widely used drugs and part of current treatment guidelines. Clonazepam (CLZ) is also utilized in many countries; however, there is no systematic comparison of thes...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/epi.13056

    authors: Alvarez V,Lee JW,Drislane FW,Westover MB,Novy J,Dworetzky BA,Rossetti AO

    更新日期:2015-08-01 00:00:00

  • Lamotrigine therapy of epilepsy with Angelman's syndrome.

    abstract:PURPOSE:Angelman syndrome (AS) is a neurogenetic disorder characterized by developmental delay and a frequently refractory epileptic condition. Valproate, clonazepam and/or phenytoin are said to be the most effective antiepileptic drugs (AEDs) against the seizures in AS. Experience with the newer AEDs is very limited d...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2006.00969.x

    authors: Dion MH,Novotny EJ Jr,Carmant L,Cossette P,Nguyen DK

    更新日期:2007-03-01 00:00:00

  • The number of seizures needed in the EMU.

    abstract:OBJECTIVE:The purpose of this study was to develop a quantitative framework to estimate the likelihood of multifocal epilepsy based on the number of unifocal seizures observed in the epilepsy monitoring unit (EMU). METHODS:Patient records from the EMU at Massachusetts General Hospital (MGH) from 2012 to 2014 were asse...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13090

    authors: Struck AF,Cole AJ,Cash SS,Westover MB

    更新日期:2015-11-01 00:00:00

  • Patterns of seizures observed in association with neurofibromatosis 1.

    abstract::Clinical features of seizures occurring in a neurofibromatosis clinic population were examined in a retrospective study. Twenty-two individuals in a population of 359 persons with neurofibromatos 1 (NF1) had had one or more seizures. Age at first seizure ranged from 4 days to > 20 years. Patients were classified into ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb00437.x

    authors: Korf BR,Carrazana E,Holmes GL

    更新日期:1993-07-01 00:00:00

  • The value of EEG-fMRI and EEG source analysis in the presurgical setup of children with refractory focal epilepsy.

    abstract:PURPOSE:In the presurgical evaluation of children and juvenile patients with refractory focal epilepsy, the main challenge is to localize the point of seizure onset as precisely as possible. We compared results of the conventional electroencephalography-functional magnetic resonance imaging (EEG-fMRI) analysis with tho...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03587.x

    authors: Elshoff L,Groening K,Grouiller F,Wiegand G,Wolff S,Michel C,Stephani U,Siniatchkin M

    更新日期:2012-09-01 00:00:00

  • Lateralized postictal EEG delta predicts the side of seizure surgery in temporal lobe epilepsy.

    abstract:PURPOSE:The concordance of lateralized EEG postictal polymorphic delta activity (PPDA) to the side of seizure origin in temporal lobe epilepsy (TLE) has received limited study. Our objective was to study the lateralizing value of PPDA in patients with documented TLE. METHODS:A cohort of consecutive adults with TLE, de...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.45999.x

    authors: Jan MM,Sadler M,Rahey SR

    更新日期:2001-03-01 00:00:00

  • Successful treatment for refractory convulsive status epilepticus by non-parenteral lacosamide.

    abstract::Lacosamide (Vimpat) is a newly licensed novel antiepileptic drug. We report a case of refractory convulsive status epilepticus (CSE) that was successfully controlled with lacosamide. The 38-year-old male patient was admitted for a series of complex partial seizures with secondary generalization leading to refractory C...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02256.x

    authors: Tilz C,Resch R,Hofer T,Eggers C

    更新日期:2010-02-01 00:00:00

  • A comparison of two methods for estimating the health care costs of epilepsy.

    abstract:PURPOSE:Previous studies have estimated medical care costs of epilepsy by applying unit costs to estimated utilization or by summing costs for (a) ambulatory care and hospitalizations coded as epilepsy and (b) procedures and drugs specifically associated with the diagnosis or treatment of epilepsy. These methods may un...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00288.x

    authors: Frost FJ,Hurley JS,Petersen HV,Gunter MJ,Gause D

    更新日期:2000-08-01 00:00:00

  • Very fast rhythmic activity on scalp EEG associated with epileptic spasms.

    abstract:PURPOSE:Very fast activity was investigated on the ictal EEGs of epileptic spasms to elucidate the pathophysiology of West syndrome (WS) and related disorders from a novel point of view. METHODS:The traces of scalp ictal EEG of spasms temporally were expanded in 11 patients whose clinical diagnosis was symptomatic WS ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.45703.x

    authors: Kobayashi K,Oka M,Akiyama T,Inoue T,Abiru K,Ogino T,Yoshinaga H,Ohtsuka Y,Oka E

    更新日期:2004-05-01 00:00:00