Noninvasive detection of focal seizures in ambulatory patients.
Details
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State: Public
Version: Final published version
License: CC BY-NC 4.0
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_1DD5CD5178E0
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Noninvasive detection of focal seizures in ambulatory patients.
Journal
Epilepsia
ISSN
1528-1167 (Electronic)
ISSN-L
0013-9580
Publication state
Published
Issued date
11/2020
Peer-reviewed
Oui
Volume
61 Suppl 1
Pages
S47-S54
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Publication Status: ppublish
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.
Keywords
Humans, Monitoring, Ambulatory/instrumentation, Monitoring, Ambulatory/methods, Seizures/diagnosis, Wearable Electronic Devices, focal seizure, seizure detection, wearable devices
Pubmed
Web of science
Open Access
Yes
Create date
10/06/2020 20:08
Last modification date
12/01/2022 7:08