Poppel Kate Van, Fulton Stephen P, McGregor Amy, Ellis Michelle, Patters Andrea, Wheless James
1Division of Pediatric Neurology, University of Tennessee Health Science Center, Memphis, TN, USA.
J Child Neurol. 2013 Nov;28(11):1434-1436. doi: 10.1177/0883073812471858. Epub 2013 Jan 29.
Sudden unexplained death in epilepsy (SUDEP) is associated with generalized tonic-clonic seizures and occurs most often when patients are in bed. There are several seizure detection monitors on the market, but little data are available on the sensitivity and specificity of these devices. We recently tested 2 models of seizure detection alarms with disappointing results. Here we tested the Emfit movement monitor on children with various seizure types who also had standard video electroencephalography (EEG), cardiopulmonary, and nursing monitoring. Video EEG records were reviewed to detect any seizures. In 45 patients, 78 seizures were recorded by video EEG. The Emfit movement monitor captured 23 seizure events (30%) in total, and 15 of the 28 (54%) that occurred during sleep. Most importantly, the alarm was activated with 11 of the 13 (85%) generalized tonic-clonic seizures that occurred in sleeping children. The Emfit movement monitor performed very well in comparison to previously tested devices.
癫痫性不明原因猝死（SUDEP）与全身强直阵挛性发作有关，且最常发生于患者卧床时。市面上有多种癫痫发作检测监测仪，但关于这些设备的敏感性和特异性的数据却很少。我们最近测试了2种癫痫发作检测报警器，结果令人失望。在此，我们对患有各种癫痫发作类型的儿童使用了Emfit运动监测仪，并同时进行标准的视频脑电图（EEG）、心肺和护理监测。通过查看视频EEG记录来检测任何癫痫发作情况。在45例患者中，视频EEG记录到78次癫痫发作。Emfit运动监测仪总共捕捉到23次癫痫发作事件（30%），其中28次（54%）发生在睡眠期间。最重要的是，在睡眠中发作的13次全身强直阵挛性发作中，有11次（85%）触发了该监测仪的警报。与之前测试的设备相比，Emfit运动监测仪表现出色。
