Epilepsy diagnosis

Research Papers

Online detection and removal of eye blink artifacts from electroencephalogram

Egambaram, Ashvaany, Badruddin, Nasreen, Asirvadam, Vijanth S, Begum, Tahamina, Fauvet, Eric, Stolz, Christophe (2021) · Biomedical Signal Processing and Control

The most prominent type of artifact contaminating electroencephalogram (EEG) signals are the eye blink (EB) artifacts, which could potentially lead to misinterpretation of the EEG signal. Online identification and elimination of eye blink artifacts are crucial in applications such a Brain-Computer Interfaces (BCI), neurofeedback, and epilepsy diagnosis. In this paper, algorithms that combine unsupervised eye blink artifact detection (eADA) with modified Empirical Mode Decomposition (FastEMD) and Canonical Correlation Analysis (CCA) are proposed, i.e., FastEMD-CCA2 and FastCCA, to automatically identify eye blink artifacts and remove them in an online setting. The average accuracy, sensitivity, specificity, and error rate for eye blink artifact removal with FastEMD-CCA2 is 97.9%, 97.65%, 99.22%, and 2.1%, respectively, validated on a Hitachi dataset with 60 EEG signals, consisting of more than 5600 eye blink artifacts. FastCCA achieved an average of 99.47%, 99.44%, 99.74%, and 0.53% artifact removal accuracy, sensitivity, specificity, and error rate, respectively, validated on the Hitachi dataset too. FastEMD-CCA2 and FastCCA algorithms are developed and implemented in the C++ programming language, mainly to investigate the processing speed that these algorithms could achieve in a different medium. Analysis has shown that FastEMD-CCA2 and FastCCA took about 10.7 and 12.7 ms, respectively, on average to clean a 1-s length of EEG segment. As a result, they're a viable option for applications that require online removal of eye blink objects from EEG signals.

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Recent Developments in the Diagnosis and Therapy of Epilepsy

ENGEL, Jr. ,JEROME, TROUPIN, ALLAN S., CRANDALL, PAUL H., STERMAN, M. BARRY, WASTERLAIN, CLAUDE G. (1982) · Annals of Internal Medicine

Recent advances in the diagnosis of epilepsy include the development of a clinically useful classification of epileptic seizures and the recognition of specific epileptic disorders. These advances have been aided by the advent of x-ray computed tomography, long-term electroencephalographic telemetry, and video monitoring. Techniques for functional imaging of the human brain promise even greater diagnostic capabilities. New antiepileptic drugs have improved medical management, and technical and theoretical advances in pharmacokinetics have permitted physicians to design balanced dosing for individual patients. Although currently underused, surgical treatment of partial complex epilepsy can be safe and effective when used appropriately. Operant conditioning of electroencephalography may become another practical alternative therapy. Contributions of basic research to understanding the complications of status epilepticus have influenced treatment protocols and greatly improved the prognosis of this potentially lethal condition.

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