Pediatric Seizure Movement Bed Alarm



Status:Completed
Conditions:Insomnia Sleep Studies, Neurology, Epilepsy
Therapuetic Areas:Neurology, Psychiatry / Psychology, Other
Healthy:No
Age Range:Any - 70
Updated:4/21/2016
Start Date:October 2010
End Date:June 2015

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Pediatric Seizure Alarm: A Pilot Study to Establish Efficacy Parameters

Nocturnal seizure and Sudden unexplained death in epilepsy patients (SUDEP) are major
concerns for parents and creates anxiety and poor sleep conditions for many families dealing
with epilepsy. An accurate and reliable system for alerting parents to ongoing seizure
activity could make a substantial impact in quality of life and possibly reduce the
mortality of epilepsy. No previous studies in the pediatric population have been performed
to evaluate this type of monitoring for seizure activity. This is one of the most common
questions parents ask in clinic, "Are there any alarms that can tell me when my child is
having a seizure at night?" Currently the answer is no. This study has the capability to
give us data that may change this answer to yes.

For parents of children with epilepsy, seizures occurring in sleep are a major concern. This
frequently leads to many nights of lost sleep for parents and also to unfavorable sleeping
arrangements, especially for older children and adolescents. Sudden unexplained death in
epilepsy patients (SUDEP) is also a major concern for both parents and neurology
practitioners. Patients with epilepsy have increased risk of sudden unexplained death
compared to the rest of the population. The risk of sudden death in epilepsy is estimated at
24 times the risk of the general population. Specific risk factors for sudden death have
been evaluated and the most frequently reported risk factors include: nocturnal seizures,
being in bed, and history of generalized tonic -clonic seizures. Interestingly, one
case-control study observed a decreased risk of SUDEP with nighttime monitoring or
supervision which raises the possibility that some cases of SUDEP may be preventable if
another person is able to give assistance. This finding may indicate that some of these
deaths may be preventable if a caregiver could be alerted to seizure activity. Use of "baby
monitors", apnea monitors and pulse oximeters to monitor their children at night has been
attempted by families; however, these devices are not specific to seizure activity and in
the case of apnea monitors and pulse oximeters have frequent false alarms leading to further
anxiety and sleep disturbance for families. Therefore, there is a need for a product that
can reliably detect seizure activity without such frequent false positives as to interfere
with sleep and functional life.

Inclusion Criteria:

- epilepsy

Exclusion Criteria:

- non-epileptic
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Memphis, Tennessee 38105
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