PubMed · 15700712
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Torbjörn Akerstedt. 2005. Shift work and sleep disorders.. https://pubmed.ncbi.nlm.nih.gov/15700712/
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P300-based GKT (guilty knowledge test) has been suggested as an alternative approach for conventional polygraphy. The purpose of this study is to evaluate three classifying methods for this approach and compare their performances in a lab analogue. Several subjects went through the designed GKT paradigm and their respective brain signals were recorded. For the analysis of signals, BAD (bootstrapped amplitude difference) and BCD (bootstrapped correlation difference) methods as two predefined methods alongside a new approach consisting of wavelet features and a statistical classifier were implemented. The rates of correct detection in guilty and innocent subjects were 74-80%. The results indicate the potential of P300-based GKT for detecting concealed information, although further research is required to increase its accuracy and precision and evaluating its vulnerability to countermeasures.
INTRODUCTION: This review summarizes some patterns of pre-surgical evaluation and surgical treatment of extratemporal epilepsy in pediatric patients with medically refractory seizures, whose ictal behavior is variable. The most effective treatment for intractable partial epilepsy is a focal cortical resection with excision of the epileptogenic zone (the area of ictal onset and initial seizure propagation). This might be risky, though, in the case of a widespread lesion, sometimes encroaching one or more lobes, given the risk to the functional cerebral cortex. An anterior temporal lobectomy might prove more effective then in preventing seizures with fewer potential complications. If partial extratemporal epilepsy is associated with pharmaco-resistant seizures, the preoperative evaluation and operative strategy are determined according to the epileptogenic zone and to the relationship between a substrate-directed disorder and eloquent areas. The pediatric treatment of extratemporal epilepsy is aimed at controlling the seizures, avoiding morbidity, and improving the patient's quality of life through psychosocial integration. Since the immature brain is more plastic than when mature, the recovery of functions after surgery is greater in children than in adults. RECOMMENDATION: Early surgery is recommended for children with intractable epilepsy, and is now accepted as an important therapeutic modality also for children with chronic epilepsy. CONCLUSION: Technological advances in the last two decades, mainly in neuroimaging, have led many medical centers to consider surgical treatment of epilepsy, accuracy being granted by MRI-based neuronavigation systems-an interface between the lesion seen in the preoperative magnetic resonance imaging (MRI) and the operative field, often invisible to the surgeon.
PURPOSE: To describe the seizures in infants with epilepsy syndromes undetermined whether focal or generalized. METHODS: This was a retrospective video-EEG study of seizures recorded at Children's Memorial Hospital (CMH), Chicago, IL, in infants diagnosed with epilepsy syndromes undetermined whether focal or generalized. RESULTS: Of 69 infants with seizures recorded, 23 (33%) had epilepsies undetermined whether focal or generalized with both generalized and focal seizures, 17 of which (25% of the total) had epilepsies with both focal and generalized seizures not further specified. The predominant seizure type was spasms with focal seizures. CONCLUSIONS: We propose several small modifications to the existing 1989 ILAE epilepsy syndrome classification: epilepsies with both focal and generalized seizures could be re-labeled "pleomorphic epilepsies" for simplicity and should include idiopathic and symptomatic subgroups. We believe these epilepsies are not uncommon in the group of infants with intractable seizures and may have yet to be discovered metabolic and genetic determinants.