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Advanced Neurology                                                  Artificial intelligence in epilepsy education



            and seizure activity.  With diverse manifestations across   65 million individuals worldwide, with around 80% of
                            2
            patients, diagnosing and managing epilepsy poses unique   cases occurring in developing regions (World Health
            challenges, often requiring specialized approaches for   Organization [WHO], 2020).  Epilepsy can be classified
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            personalized treatment. 1,2                        into various types based on the nature and origin of the
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              In the United States, approximately 3.4 million   seizures,  primarily categorized into generalized and
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            individuals are affected by epilepsy, with 150,000 new cases   focal  seizures.   Understanding  these  classification  are
            diagnosed annually.  This condition spans all ages, from   crucial for effective diagnosis and treatment, highlighting
                            3
            children to older adults, and imposes significant medical,   the need for continuous research and refinement of
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            emotional, social, and financial challenges for patients   diagnostic criteria.  Early diagnosis and treatment are
            and their families.  Major risk factors include traumatic   crucial for improving the quality of life for those affected
                           4
            brain injury, genetic predispositions, neurodevelopmental   by epilepsy and for preventing complications associated
            issues, stroke, and central nervous system infections.    with this chronic neurological disorder. 13,14  Advanced
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            Diagnosis commonly involves reviewing medical history,   technology, particularly AI, is transforming the diagnosis
            conducting physical exams, performing neuroimaging,   and management of epilepsy by providing new tools to
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            and primarily utilizing electroencephalography (EEG)   detect and predict seizures with increasing accuracy.
            to assess brain activity.  However, accurately interpreting   The prevalence of epilepsy varies globally, impacting 0.6
                              6
            EEG  data requires  advanced  expertise, creating barriers   – 1.0% of the population, with higher rates observed in
            to timely diagnosis. While genetic testing can provide   developing regions (0.7 – 1.2%) compared to developed
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            insights in specific cases, its accessibility and cost remain   regions (0.5 – 0.8%).  This disparity highlights the urgent
            limiting factors. 7                                need  for enhanced diagnostic and  treatment resources
                                                               in under-resourced areas, where epilepsy care is often
              Artificial intelligence (AI) is increasingly advancing   limited or unavailable (WHO, 2020).  Diagnosis typically
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            epilepsy care by automating EEG analysis, detecting subtle   involves a detailed history, semiology examination, and
            seizure patterns, and facilitating faster, more accurate   electrophysiological methods to identify the epileptic focus
            diagnoses, especially in settings with  limited specialized   and classify the type of seizures. 10,11  Treatment primarily
            expertise.  AI-driven tools also have the potential to predict   includes long-term use of antiseizure medications (ASMs)
                   8
            seizure patterns, enabling patients to take proactive safety   to reduce seizure frequency or achieve remission, with
            measures.  In addition, AI-powered applications, wearable   careful monitoring for adverse reactions.  The primary
                    9
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            devices, and telehealth services are revolutionizing epilepsy   goal in conventional epilepsy management is to control
            care by improving access to personalized support tailored   seizures, minimize side effects, and improve quality of
            to individual needs. 10                            life.  This includes accurate diagnosis using EEG and
                                                                  8,9
              This study explores how AI implementation        magnetic  resonance  imaging  (MRI)  to classify seizure
            can  enhance epilepsy  education by improving  EEG   types and guide treatment choices.  First-line treatment
                                                                                           8,9
            interpretation skills, supporting patient self-management,   typically involves ASDs, like carbamazepine or valproate,
            and creating  innovative  learning  pathways  for  neuro   often using monotherapy to minimize interactions. 10,11  For
            physicians  while  highlighting  the  collaborative  efforts   drug-resistant cases, surgical interventions or alternative
            of multiple institutions in this field. Moreover, the study   treatments, such as vagus nerve stimulation and ketogenic
            examines the ethical considerations of AI integration, such   diets, may be applied. 10,11  Lifestyle adjustments and
            as transparency, bias mitigation, and privacy protection,   psychosocial support, alongside regular monitoring, are
            aiming to maximize its benefits while addressing potential   crucial for effective ongoing management and treatment
            limitations in clinical practice. 1-10             sucess. 8-11
            2. Epilepsy: The impact and importance of          3. Challenges in epilepsy education and
            early diagnosis and treatment                      awareness

            The International League Against Epilepsy (ILAE) defines   Epilepsy education faces numerous challenges, including
            epilepsy as a disease of the brain characterized by any of the   inadequate knowledge and awareness, as well as significant
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            following conditions: at least two unprovoked (or reflex)   disparities in care and educational needs.  One of the
            seizures occurring more than 24 h apart, one unprovoked   primary issues is the poor knowledge and awareness
            (or reflex) seizure with a probability of further seizures   about  epilepsy  among patients,  which  hampers effective
            similar to the general recurrence risk (at least 60%) after two   self-management and diminishes the quality of life.  This
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            unprovoked seizures over the next 10 years, or a diagnosis   lack of awareness extends to the public and healthcare
            of an epilepsy syndrome. 11,12  Epilepsy affects approximately   professionals,  contributing to the  under-recognition


            Volume 4 Issue 3 (2025)                         17                               doi: 10.36922/an.4777
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