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 (2020). A new era in electroencephalographic monitoring? Subscalp devices for ultra-long-term recordings. Epilepsia, 61(9), pp. 1805-1817. Wiley-Blackwell 10.1111/epi.16630

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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.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Baud, Maxime

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0013-9580

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

12 Nov 2020 15:44

Last Modified:

08 Dec 2020 01:33

Publisher DOI:

10.1111/epi.16630

PubMed ID:

32852091

Uncontrolled Keywords:

automatic seizure detection chronotherapy circadian rhythm epilepsy monitoring and recording subcutaneous EEG

BORIS DOI:

10.7892/boris.147719

URI:

https://boris.unibe.ch/id/eprint/147719

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