Home seizure detection: a maturing technology

For many people with epilepsy and their carers, the unpredictability of seizures is especially stressful and debilitating, limiting normal social function, including employment. It is also a major cause of morbidity and mortality. Sudden unexpected death in epilepsy (SUDEP) is a particular risk; eliminating sleep-related tonic-clonic seizures and lone sleeping might remove 82% of SUDEP risk.1 Moreover, half of all seizures currently remain undetected, though this figure varies significantly between individuals.2

Seizure detection systems build confidence and a sense of control for those with epilepsy and their carers who find these devices helpful3 and early detection may reduce adverse outcomes.4 However, being monitored is not always comfortable; the device may impact on individuals’ independence and relationships. Consent issues arise when considering those with epilepsy who may lack capacity; those with the most refractory epilepsy may find the devices most difficult.5 If…

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