The DOI matches its Crossref record; 107 of the 107 references it cites were found in a registry or an index.
Diagnostic challenges in epilepsy: seizure under-reporting and seizure detection
Abstract
Epileptic seizures vary greatly in clinical phenomenology and can markedly affect the patient's quality of life. As therapeutic interventions focus on reduction or elimination of seizures, the accurate documentation of seizure occurrence is essential. However, patient self-evaluation compared with objective evaluation by video-electroencephalography (EEG) monitoring or long-term ambulatory EEG revealed that patients document fewer than 50% of their seizures, on average, and that documentation accuracy varies significantly over time. For good clinical practice in epilepsy, novel and feasible seizure detection techniques for ambulatory long-term use are needed. Generalised tonic-clonic seizures can already be detected reliably by methods that rely on motion recording (eg, surface electromyography). However, the automatic detection of other seizure types, such as complex partial seizures, will require multimodal approaches that combine the measurement of ictal autonomic alterations (eg, heart rate) and of characteristic movement patterns (eg, accelerometry). Innovative and feasible tools for automatic seizure detection are likely to advance both monitoring of the outcome of a treatment in a patient and clinical research in epilepsy.
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“Epileptic seizures are underreported in manual seizure diaries, especially during the night76.”
From Data quality evaluation in wearable monitoring (2022) · cites this paper as [76]
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Cites
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Advancements in Noncontact, Multiparameter Physiological Measurements Using a Webcam
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Resective Epilepsy Surgery for Drug-Resistant Focal Epilepsy
Jobst, B. C., & Cascino, G. D. (2015) · JAMA · doi:10.1001/jama.2014.17426 · Cited by 666
Ethosuximide, Valproic Acid, and Lamotrigine in Childhood Absence Epilepsy
Glauser, T. A., Cnaan, A., Shinnar, S., Hirtz, D. G., Dlugos, D., Masur, D. M., Clark, P. O., Capparelli, E. V., & Adamson, P. C. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa0902014 · Cited by 643
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Self-citationUnobtrusive ambulatory EEG using a smartphone and flexible printed electrodes around the ear
Debener, S., Emkes, R., Vos, M. D., & Bleichner, M. G. (2015) · Scientific Reports · doi:10.1038/srep16743 · Cited by 383
Drug treatment of epilepsy in adults
Schmidt, D., & Schachter, S. C. (2014) · BMJ · doi:10.1136/bmj.g254 · Cited by 327
Geller, E. B., Skarpaas, T. L., Gross, R. E., Goodman, R. R., Barkley, G. L., Bazil, C. W., Berg, M. J., Bergey, G. K., Cash, S. S., Cole, A. J., et al. (2017) · Epilepsia · doi:10.1111/epi.13740 · Cited by 312
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Thijs, R. D., Surges, R., O'Brien, T. J., & Sander, J. W. A. S. (2019) · The Lancet · doi:10.1016/s0140-6736(18)32596-0 · Cited by 2,359
Seizure prediction – ready for a new era
Kuhlmann, L., Lehnertz, K., Richardson, M. P., Schelter, B., & Zaveri, H. P. (2018) · Nature Reviews Neurology · doi:10.1038/s41582-018-0055-2 · Cited by 450
Perucca, E., Perucca, P., White, H. S., & Wirrell, E. C. (2023) · The Lancet Neurology · doi:10.1016/s1474-4422(23)00151-5 · Cited by 342
Karoly, P. J., Rao, V. R., Gregg, N. M., Worrell, G. A., Bernard, C., Cook, M. J., & Baud, M. O. (2021) · Nature Reviews Neurology · doi:10.1038/s41582-021-00464-1 · Cited by 275
Seizure Cycles in Focal Epilepsy
Leguia, M. G., Andrzejak, R. G., Rummel, C., Fan, J. M., Mirro, E. A., Tcheng, T. K., Rao, V. R., & Baud, M. O. (2021) · JAMA Neurology · doi:10.1001/jamaneurol.2020.5370 · Cited by 185
Metadata
- Authors
- Elger, C. E., & Hoppe, C.
- Affiliations
- University of Bonn (DE)
- Corresponding author
- Hoppe, Christian
- Venue
- The Lancet Neurology
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 17
- Issue
- 3
- Pages
- 279-288
- ISSN
- 1474-4422 (ISSN-L)
- OpenAlex
- W2787779804
- Cited by
- 403
- References
- 107
- Citations by year
- 2026: 39 · 2025: 57 · 2024: 76 · 2023: 53 · 2022: 56 · 2021: 45 · 2020: 41 · 2019: 26 · 2018: 10
- FWCI
- 4.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Physical Sciences › Computer Science › Artificial Intelligence › Seismology and Earthquake Studies
- Keywords
- epilepsy, seizure detection, video-EEG monitoring, ambulatory EEG, generalized tonic-clonic seizures, complex partial seizures, surface electromyography, accelerometry, heart rate, automated seizure detection, treatment outcome monitoring
- MeSH terms
- Electroencephalography, Epilepsy, Humans, Monitoring, Physiologic, Movement
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