查看文章

Our objective was to assess the clinical reliability of a wrist‐worn, wireless accelerometer sensor for detecting generalized tonic–clonic seizures (GTCS). Seventy‐three consecutive patients (age 6–68 years; median 37 years) at risk of having GTCS and who were admitted to the long‐term video–electroencephalography (EEG) monitoring unit (LTM) were recruited in three centers. The reference standard was considered the seizure time points identified by experienced clinical neurophysiologists, based on the video‐EEG recordings and blinded to the accelerometer sensor data. Seizure time points detected real‐time by the sensor were compared with the reference standard. Patients were monitored for 17–171 h (mean 66.8; total 4,878). Thirty‐nine GTCS were recorded in 20 patients. The device detected 35 seizures (89.7%). In 16 patients all seizures were detected. In three patients more than two thirds of the …