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Signs of Seizure  
 
A prototype device to forewarn epileptic seizures is being developed at the Department of Energy's Oak Ridge National Laboratory.  SeizAlert—a Seizure Alerting Device—is a low-cost, compact, wearable device designed to alert the wearer and medical personnel of an impending epileptic seizure. Developed by a research team at Oak Ridge National Laboratory, Tenn., SeizAlert’s early warning capability is obtained by advanced nonlinear statistical analysis of real-time multichannel scalp electroencephalogram (EEG) data. Competing systems do not use suitable artifact filters, generally employ linear methodologies, and have difficulty with scalp data, relying almost exclusively on invasive, intracranial data (limiting its usefulness for long-term ambulatory monitoring).

 

SeizAlert is a portable, PDA implemented device. Its warning window for an epileptic seizure can be from 1 min to 5.3 hr. It does, however, have a high accuracy for a large number of seizures with a timely warning and a very low false positive rate/hr. The main advantage of the device is that it is non-invasive, obtaining both single channel and multichannel scalp data.  Beyond its epileptic warning capabilities, other applications of the device would be in forewarning of ventricular fibrillation events, detection of inhaled-endotoxin-induced septic shock, a condition change due to increased breathing difficulty, and a forewarning of fainting.

Oak Ridge researcher Lee Hively says the SeizAlert system studies brain waves.

"SeizAlert uses advanced statistical analysis from four scalp electrodes," Hively says. "The analysis removes eye blink signals, compares the non-seizure signature to subsequent intervals that can provide forewarning for epileptic seizures. The present forewarning ranges from 30 minutes to four hours for the most common form of epilepsy."

SeizAlert recently earned an Excellence in Technology Award from the Southeastern Federal Laboratory Consortium and has also earned an R&D 100 Award. It is scheduled to undergo an initial clinical trial in Cleveland, Ohio.

ORNL is managed by UT-Battelle for the Department of Energy.

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Contact Travis Whitlow at travis.whitlow@aamu.edu