Automated Seizure Detection With Wearables: Which Technologies Are Appropriate For Which Biosignals?

Epileptic seizures can have motor, autonomic, cognitive or emotional manifestations. Devices for mobile monitoring can record these using sensors which capture specific biosignatures of these signs and classify them based thereon for seizure detection, seizure prediction and for a risk assessment. Presently the performance of wearables to detect seizures is best for motor seizures with tonic and clonic components; however, other seizure types are candidates for an objective seizure detection as well. The combination with ultralong electroencephalography (EEG) recordings widens the spectrum of seizure types to be captured and opens up a perspective for a qualitatively new era of treatment monitoring.