A new era in electroencephalographic monitoring? Subscalp devices for ultra–long-term recordings
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A new era in electroencephalographic monitoring? Subscalp devices for ultra–long-term recordings. / Duun-Henriksen, Jonas; Baud, Maxime; Richardson, Mark P.; Cook, Mark; Kouvas, George; Heasman, John M.; Friedman, Daniel; Peltola, Jukka; Zibrandtsen, Ivan C.; Kjaer, Troels W.
I: Epilepsia, Bind 61, Nr. 9, 2020, s. 1805-1817.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - A new era in electroencephalographic monitoring? Subscalp devices for ultra–long-term recordings
AU - Duun-Henriksen, Jonas
AU - Baud, Maxime
AU - Richardson, Mark P.
AU - Cook, Mark
AU - Kouvas, George
AU - Heasman, John M.
AU - Friedman, Daniel
AU - Peltola, Jukka
AU - Zibrandtsen, Ivan C.
AU - Kjaer, Troels W.
PY - 2020
Y1 - 2020
N2 - Inaccurate subjective seizure counting poses treatment and diagnostic challenges and thus suboptimal quality in epilepsy management. The limitations of existing hospital- and home-based monitoring solutions are motivating the development of minimally invasive, subscalp, implantable electroencephalography (EEG) systems with accompanying cloud-based software. This new generation of ultra–long-term brain monitoring systems is setting expectations for a sea change in the field of clinical epilepsy. From definitive diagnoses and reliable seizure logs to treatment optimization and presurgical seizure foci localization, the clinical need for continuous monitoring of brain electrophysiological activity in epilepsy patients is evident. This paper presents the converging solutions developed independently by researchers and organizations working at the forefront of next generation EEG monitoring. The immediate value of these devices is discussed as well as the potential drivers and hurdles to adoption. Additionally, this paper discusses what the expected value of ultra–long-term EEG data might be in the future with respect to alarms for especially focal seizures, seizure forecasting, and treatment personalization.
AB - Inaccurate subjective seizure counting poses treatment and diagnostic challenges and thus suboptimal quality in epilepsy management. The limitations of existing hospital- and home-based monitoring solutions are motivating the development of minimally invasive, subscalp, implantable electroencephalography (EEG) systems with accompanying cloud-based software. This new generation of ultra–long-term brain monitoring systems is setting expectations for a sea change in the field of clinical epilepsy. From definitive diagnoses and reliable seizure logs to treatment optimization and presurgical seizure foci localization, the clinical need for continuous monitoring of brain electrophysiological activity in epilepsy patients is evident. This paper presents the converging solutions developed independently by researchers and organizations working at the forefront of next generation EEG monitoring. The immediate value of these devices is discussed as well as the potential drivers and hurdles to adoption. Additionally, this paper discusses what the expected value of ultra–long-term EEG data might be in the future with respect to alarms for especially focal seizures, seizure forecasting, and treatment personalization.
KW - automatic seizure detection
KW - chronotherapy
KW - circadian rhythm
KW - epilepsy monitoring and recording
KW - subcutaneous EEG
U2 - 10.1111/epi.16630
DO - 10.1111/epi.16630
M3 - Journal article
C2 - 32852091
AN - SCOPUS:85089889748
VL - 61
SP - 1805
EP - 1817
JO - Epilepsia
JF - Epilepsia
SN - 0013-9580
IS - 9
ER -
ID: 250548767