EEG at home: understanding epilepsy and predicting seizures

  • Research type

    Research Study

  • Full title

    Daily EEG at home: understanding epilepsy and seizures through investigation of frequent repeated EEG, stress, sleep and other factors

  • IRAS ID

    260014

  • Contact name

    Mark Richardson

  • Contact email

    mark.richardson@kcl.ac.uk

  • Sponsor organisation

    King's College London

  • Clinicaltrials.gov Identifier

    n/a, n/a

  • Duration of Study in the UK

    2 years, 11 months, 31 days

  • Research summary

    In this proof-of-principle project, we will investigate whether frequent at-home measurement of EEG can prospectively identify periods of increased seizure risk.

    Unpredictability of seizures is a key challenge. In prior work, we developed a method to estimate brain network ictogenicity (BNI), a novel biomarker of the propensity of the brain to develop seizures. To estimate BNI requires 20 seconds of interictal scalp EEG. In this proof-of-principle project, we will investigate whether frequent at-home measurement of EEG, from which we will estimate BNI, can prospectively identify periods of increased seizure risk.

    We will recruit and follow for 6 months, a cohort of 12 people who have >20 seizures per year. We will train participants to use a 9-channel EEG cap and miniature amplifier system. Participants will prospectively record seizure occurrences and medication taking; collect 10 minute EEGs twice daily; and wear a wrist-worn sensor that tracks actigraphy and heart rate. From each EEG, we will extract 20 seconds of resting data. A functional network will be estimated in the 6-9Hz band using phase-locking. BNI will be estimated from each twice-daily EEG over the 6-month duration.

    We will test whether variation in BNI associates with seizure occurrences; and whether BNI varies with sleep, stress and medication taking.

  • REC name

    London - Bromley Research Ethics Committee

  • REC reference

    19/LO/0554

  • Date of REC Opinion

    3 May 2019

  • REC opinion

    Favourable Opinion