![]() ![]() Investigators have pursued various methods for seizure detection. Some patients want detection to occur within 30 seconds of seizure onset, and about 14% of patients said that detection within three minutes of onset would be sufficient. ![]() “The majority of patients would like detection to occur with alerting within one minute” of seizure onset, said Dr. Patients also want rapid detection of seizures so that they can protect themselves or quickly get help. “Most patients said as long as the ratio of false detections to true detections was not more than 1:1, they would find that acceptable,” said Dr. Patients with recurring seizures would accept a higher false-positive rate. Seizure-free patients would accept a false-positive rate of less than one per week. One survey suggested that patients would accept a false-positive or false-negative rate of less than 25%. Finally, patients want devices that predict seizures, but this task “probably requires intracranial recording,” said Gregory Krauss, MD, Professor of Neurology at Johns Hopkins University School of Medicine in Baltimore.Īnother survey asked patients about the accuracy that they wanted from these devices. On the other hand, patients do want to get help during medical appointments with controlling and using the devices. They do not, however, want devices that notify their doctors automatically about seizures, preferring to maintain control of their own medical data. EMBRACE SEIZURE WATCH REGISTRATIONPatients want devices that perform automatic seizure registration and make emergency calls to family members or caregivers. The authors found that patients want convenient devices such as wearable wristbands, but do not want devices that are conspicuous. In 2015, Hoppe and colleagues published the results of their survey of patients’ preferences for automated seizure-detection devices. They may be convenient for patients to use and could provide opportunities for interventions to prevent sudden unexpected death in epilepsy (SUDEP). Many such devices are in development, and some already are available. ![]() Devices that monitor heart rate, electrodermal changes, and electromyogram (EMG) changes also may provide accurate detection of convulsive seizures. HOUSTON-Mobile or wearable devices that observe autonomic and motor changes may provide seizure detection, according to an overview presented at the 70th Annual Meeting of the American Epilepsy Society. ![]()
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