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Clin Neurophysiol ; 119(4): 842-52, 2008 Apr.
Article in English | MEDLINE | ID: mdl-18261953

ABSTRACT

OBJECTIVE: Photosensitive epilepsy (PSE) is the most common form of reflex epilepsy. Usually, to find out whether a patient is sensitive, he/she is stimulated visually with, e.g. a stroboscopic light stimulus at variable frequency and intensity until a photo paroxysmal response (PPR) occurs. The research described in this work aims to find whether photosensitivity can be detected without provoking a PPR. METHODS: Twenty-two subjects, 15 with known photosensitivity, were stimulated with visual stimuli that did not provoke a PPR. Using an "evoked response representation", 18 features were analytically derived from EEG signals. Single- and multi-feature classification paradigms were applied to extract those features that separate best subjects with PSE from controls. RESULTS: Two variables in the "evoked response representation", a frequency term and a goodness of fit term to a particular template, appeared to be best suited to make a prediction about the photosensitivity of a subject. CONCLUSIONS: Evoked responses appear to carry information about potential PSE. SIGNIFICANCE: This result can be useful for screening patients for photosensitivity and it may also help to assess in a quantitative way the effectiveness of medical therapy.


Subject(s)
Epilepsy, Reflex/diagnosis , Evoked Potentials, Visual/physiology , Photic Stimulation/methods , Adolescent , Adult , Child , Electroencephalography , Female , Humans , Male , Middle Aged
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