Views of patients with epilepsy on seizure prediction devices

Views of patients with epilepsy on seizure prediction devices
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DOI:
10.1016/j.yebeh.2010.05.008
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发表时间:
2010-08-01
影响因子:
2.6
通讯作者:
Ihle, Matthias
Ihle, Matthias
中科院分区:
医学3区
文献类型:
--
作者:
Schulze-Bonhage, Andreas;Sales, Francisco;Ihle, Matthias

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到目前为止,患者对癫痫发作预测装置的相关性、性能要求和实施的看法尚未以标准化的形式进行评估。我们在这里报告的观点门诊患者不受控制的癫痫从癫痫中心在弗莱堡。德国,科英布拉,葡萄牙,根据问卷调查得出。对于癫痫发作预测方法的开发,无论是预警还是闭环干预,都很有兴趣。预测的高灵敏度比特异性更重要。较短的预测时间窗是首选,但癫痫易发期的指示也被认为是值得的。然而,只有少数患者愿意长期佩戴脑电图电极进行信号采集。这些数据支持这样一种观点,即癫痫发作预测对不受控制的癫痫患者非常重要。然而,为了满足患者的需求,目前可用的预测算法的性能改进和脑电图记录的技术改进将是必要的。(C) 2010爱思唯尔公司版权所有。
Patients' views on the relevance, performance requirements, and implementation of seizure prediction devices have so far not been evaluated in a standardized form. We here report views of outpatients with uncontrolled epilepsy from the epilepsy centers at Freiburg. Germany, and Coimbra, Portugal, based on a questionnaire. Interest in the development of methods for seizure prediction both for warning and for closed-loop interventions is high. High sensitivity of prediction is regarded as more important than specificity. Short prediction time windows are preferred, but the indication of seizure-prone periods is also considered worthwhile. Only a few patients are, however, willing to wear EEG electrodes for signal acquisition on a long-term basis. These data support the view that seizure prediction is of high interest to patients with uncontrolled epilepsy. Improvements in the performance of presently available prediction algorithms and technical improvements in EEG recording will, however, be necessary to meet patients' requirements. (C) 2010 Elsevier Inc. All rights reserved.