Int J Neural Syst - Early prediction of medication refractoriness in children with idiopathic epilepsy based on scalp EEG analysis.

Tópicos

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Resumo

Refractory epilepsy often has deleterious effects on an individual's health and quality of life. Early identification of patients whose seizures are refractory to antiepileptic drugs is important in considering the use of alternative treatments. Although idiopathic epilepsy is regarded as having a significantly lower risk factor of developing refractory epilepsy, still a subset of patients with idiopathic epilepsy might be refractory to medical treatment. In this study, we developed an effective method to predict the refractoriness of idiopathic epilepsy. Sixteen EEG segments from 12 well-controlled patients and 14 EEG segments from 11 refractory patients were analyzed at the time of first EEG recordings before antiepileptic drug treatment. Ten crucial EEG feature descriptors were selected for classification. Three of 10 were related to decorrelation time, and four of 10 were related to relative power of delta/gamma. There were significantly higher values in these seven feature descriptors in the well-controlled group as compared to the refractory group. On the contrary, the remaining three feature descriptors related to spectral edge frequency, kurtosis, and energy of wavelet coefficients demonstrated significantly lower values in the well-controlled group as compared to the refractory group. The analyses yielded a weighted precision rate of 94.2%, and a 93.3% recall rate. Therefore, the developed method is a useful tool in identifying the possibility of developing refractory epilepsy in patients with idiopathic epilepsy.

Resumo Limpo

refractori epilepsi often deleteri effect individu health qualiti life earli identif patient whose seizur refractori antiepilept drug import consid use altern treatment although idiopath epilepsi regard signific lower risk factor develop refractori epilepsi still subset patient idiopath epilepsi might refractori medic treatment studi develop effect method predict refractori idiopath epilepsi sixteen eeg segment wellcontrol patient eeg segment refractori patient analyz time first eeg record antiepilept drug treatment ten crucial eeg featur descriptor select classif three relat decorrel time four relat relat power deltagamma signific higher valu seven featur descriptor wellcontrol group compar refractori group contrari remain three featur descriptor relat spectral edg frequenc kurtosi energi wavelet coeffici demonstr signific lower valu wellcontrol group compar refractori group analys yield weight precis rate recal rate therefor develop method use tool identifi possibl develop refractori epilepsi patient idiopath epilepsi

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