Matthias Ihle

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With a worldwide prevalence of about 1%, epilepsy is one of the most common serious brain diseases with profound physical, psychological and, social consequences. Characteristic symptoms are seizures caused by abnormally synchronized neuronal activity that can lead to temporary impairments of motor functions, perception, speech, memory or, consciousness.(More)
Patients views on the relevance, performance requirements, and implementation of seizure prediction devices have so far not been evaluated in a standardized form. We here report views of outpatients with uncontrolled epilepsy from the epilepsy centers at Freiburg, Germany, and Coimbra, Portugal, based on a questionnaire. Interest in the development of(More)
Subclinical seizures (SCS) have rarely been considered in the diagnosis and therapy of epilepsy and have not been systematically analyzed in studies on seizure prediction. Here, we investigate whether predictions of subclinical seizures are feasible and how their occurrence may affect the performance of prediction algorithms. Using the European database of(More)
Initially, seizure prediction was based on the analysis of brief EEG segments preceding clinically manifest seizures. Whereas such approaches suggested that the sensitivities of various EEG-derived features in predicting seizures were high, the inclusion of longer interictal periods and the combined assessment of sensitivity and specificity and the(More)
From the very beginning the seizure prediction community faced problems concerning evaluation, standardization, and reproducibility of its studies. One of the main reasons for these shortcomings was the lack of access to high-quality long-term electroencephalography (EEG) data. In this article we present the EPILEPSIAE database, which was made publicly(More)
Seizure prediction performance is hampered by high numbers of false predictions. Here we present an approach to reduce the number of false predictions based on circadian concepts. Based on eight representative patients we demonstrate that this approach increases the performance considerably. The fraction of patients for whom we found a significant seizure(More)
Recent evidence suggests that some seizures are preceded by preictal changes that start from minutes to hours before an ictal event. Nevertheless an adequate statistical evaluation in a large database of continuous multiday recordings is still missing. Here, we investigated the existence of preictal changes in long-term intracranial recordings from 53(More)
In most cases authors are permitted to post their version of the article (e.g. in Word or Tex form) to their personal website or institutional repository. Authors requiring further information regarding Elsevier's archiving and manuscript policies are encouraged to visit: a b s t r a c t a r t i c l e i n f o Subclinical seizures (SCS) have rarely been(More)