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Epilepsy is a prevalent neurological disorder affecting approximately 50 million individuals worldwide. Electroencephalogram (EEG) signals play a vital role in the diagnosis and analysis of epileptic seizures. However, traditional machine learning techniques often rely on handcrafted features, limiting their robustness and generalizability across diverse EEG acquisition settings, seizure types, and patients. To address these limitations, we propose RDPNet, a multi-scale residual dilated pyramid network with entropy-guided feature fusion for automated epileptic EEG classification. RDPNet combines residual convolution modules to extract local features and a dilated convolutional pyramid to capture long-range temporal dependencies. A dual-pathway fusion strategy integrates pooled and entropy-based features from both shallow and deep branches, enabling robust representation of spatial saliency and statistical complexity. We evaluate RDPNet on two benchmark datasets: the University of Bonn and TUSZ. On the Bonn dataset, RDPNet achieves 99.56-100% accuracy in binary classification, 99.29-99.79% in ternary tasks, and 95.10% in five-class classification. On the clinically realistic TUSZ dataset, it reaches a weighted F-score of 95.72% across seven seizure types. Compared with several baselines, RDPNet consistently outperforms existing approaches, demonstrating superior robustness, generalizability, and clinical potential for epileptic EEG analysis.
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http://dx.doi.org/10.3390/e27080830 | DOI Listing |
J Neural Eng
September 2025
University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania, 19104-6243, UNITED STATES.
New implantable and wearable devices hold great promise to help patients manage their seizure disorders. One proposed application is measuring the rate of interictal epileptiform discharges as a biomarker of medication levels and seizure risk. This study aims to determine whether interictal epileptiform spike rates (spikes) are independently associated with anti-seizure medication (ASM) levels and evaluate whether spike rates are a reliable biomarker for ASM levels.
View Article and Find Full Text PDFSeizure
August 2025
Serviço de Neurologia, Departamento de Neurociências e Saúde Mental, Hospital Santa Maria, Unidade Local de Saúde Santa Maria, Lisboa, Portugal; Centro de Estudos Egas Moniz, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; Laboratório de EEG/Sono, Serviço de Neurologi
Introduction: Subtle involuntary movements in patients with impaired awareness may suggest non-convulsive status epilepticus (NCSE), but their diagnostic accuracy is unclear. Since electroencephalography (EEG) is not always available, clinicians often rely on motor signs for early diagnosis. We aimed to characterize these movements and evaluate interrater agreement and diagnostic accuracy among specialists.
View Article and Find Full Text PDFMedicine (Baltimore)
September 2025
Diagnosis and Treatment Center for Children, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, Jilin Province, China.
Rationale: Phelan-McDermid syndrome, also known as chromosome 22q13.3 deletion syndrome, is a genetic disorder primarily caused by a chromosome 22q13.3 deletion or mutation.
View Article and Find Full Text PDFACS Nano
September 2025
Department of Electrical and Computer Engineering, Sungkyunkwan University, Suwon 16419, Republic of Korea.
Vagus nerve stimulation (VNS) is a promising therapy for neurological and inflammatory disorders across multiple organ systems. However, conventional rigid interfaces fail to accommodate dynamic mechanical environments, leading to mechanical mismatches, tissue irritation, and unstable long-term interfaces. Although soft neural interfaces address these limitations, maintaining mechanical durability and stable electrical performance remains challenging.
View Article and Find Full Text PDFEpileptic Disord
September 2025
Department of Neurology, Neurocritical Care and Neurorehabilitation, Christian Doppler University Hospital, Centre for Cognitive Neuroscience, Member of the European Reference Network EpiCARE, Paracelsus Medical University of Salzburg, Salzburg, Austria.