Neuromodulation in epilepsy: state-of-the-art approved therapies

P Ryvlin, S Rheims, LJ Hirsch, A Sokolov… - The Lancet …, 2021 - thelancet.com
Three neuromodulation therapies have been appropriately tested and approved in refractory
focal epilepsies: vagus nerve stimulation (VNS), deep brain stimulation of the anterior …

Cycles in epilepsy

PJ Karoly, VR Rao, NM Gregg, GA Worrell… - Nature Reviews …, 2021 - nature.com
Epilepsy is among the most dynamic disorders in neurology. A canonical view holds that
seizures, the characteristic sign of epilepsy, occur at random, but, for centuries, humans …

Long-term brain network reorganization predicts responsive neurostimulation outcomes for focal epilepsy

AN Khambhati, A Shafi, VR Rao… - Science Translational …, 2021 - science.org
Responsive neurostimulation (RNS) devices, able to detect imminent seizures and to rapidly
deliver electrical stimulation to the brain, are effective in reducing seizures in some patients …

[HTML][HTML] Seizure diaries and forecasting with wearables: epilepsy monitoring outside the clinic

BH Brinkmann, PJ Karoly, ES Nurse… - Frontiers in …, 2021 - frontiersin.org
It is a major challenge in clinical epilepsy to diagnose and treat a disease characterized by
infrequent seizures based on patient or caregiver reports and limited duration clinical …

Seizure cycles in focal epilepsy

MG Leguia, RG Andrzejak, C Rummel, JM Fan… - JAMA …, 2021 - jamanetwork.com
Importance Focal epilepsy is characterized by the cyclical recurrence of seizures, but, to our
knowledge, the prevalence and patterns of seizure cycles are unknown. Objective To …

Ambulatory seizure forecasting with a wrist-worn device using long-short term memory deep learning

M Nasseri, T Pal Attia, B Joseph, NM Gregg… - Scientific reports, 2021 - nature.com
The ability to forecast seizures minutes to hours in advance of an event has been verified
using invasive EEG devices, but has not been previously demonstrated using noninvasive …

Multiday cycles of heart rate are associated with seizure likelihood: An observational cohort study

PJ Karoly, RE Stirling, DR Freestone, ES Nurse… - …, 2021 - thelancet.com
Background Circadian and multiday rhythms are found across many biological systems,
including cardiology, endocrinology, neurology, and immunology. In people with epilepsy …

Seizure forecasting using a novel sub-scalp ultra-long term EEG monitoring system

RE Stirling, MI Maturana, PJ Karoly, ES Nurse… - Frontiers in …, 2021 - frontiersin.org
Accurate identification of seizure activity, both clinical and subclinical, has important
implications in the management of epilepsy. Accurate recognition of seizure activity is …

Seizure occurrence is linked to multiday cycles in diverse physiological signals

NM Gregg, T Pal Attia, M Nasseri, B Joseph… - …, 2023 - Wiley Online Library
Objective The factors that influence seizure timing are poorly understood, and seizure
unpredictability remains a major cause of disability. Work in chronobiology has shown that …

Forecasting seizure likelihood with wearable technology

RE Stirling, DB Grayden, W D'Souza, MJ Cook… - Frontiers in …, 2021 - frontiersin.org
The unpredictability of epileptic seizures exposes people with epilepsy to potential physical
harm, restricts day-to-day activities, and impacts mental well-being. Accurate seizure …