A Brain Pacemaker

Imagine walking across the street and suddenly falling down. Your body convulses, you lose consciousness. This is how it feels to have a seizure.

The ability to predict seizures may allow researchers to prevent them in the near future. Scientists from the University of Florida in Gainesville and Arizona State University (ASU) in Tempe have found that a drop in brain wave activity precedes the onset of seizures. This discovery could lead to the development of preemptive treatments such as electrical implants. While brain damage from seizures is rare, attacks can result in serious injuries, and can keep sufferers from leading normal lives.

Leonidas Iasemidis, Ph.D., a bioengineering researcher at ASU, envisions a computer chip that could be implanted in the brain. The device would record brain activity and communicate via wireless technology with an external chip that analyzes the data. If a seizure were building, the external chip would signal the implanted chip to administer anticonvulsant medication or an electrical shock. Iasemidis says development of such a device could occur within five years.

Epilepsy, the brain disorder responsible for most seizures, affects 2.3 million Americans and about 50 million people worldwide. It is caused by abnormal electrical discharges in the brain. Current methods for treating epileptic seizures include medication and surgery to remove brain tissue where the seizure begins.

Discovery of the pre-seizure state came from an analysis of ten years of electroencephalograms (EEG) -- recordings of electrical activity in the brain -- taken from epilepsy sufferers who were waiting to undergo surgery. A change in the electrical activity in the brain was found to precede seizures by an average of 70 to 80 minutes, and in some cases by days. Using a mathematical formula, researchers were able to predict around 80 percent of seizures.

If prevention does not prove possible, researchers believe there is potential for a warning system that could alert doctors and patients to an imminent seizure.

Tags: arizona state university, asu, brain activity, brain damage, brain disorder, brain tissue, eeg recordings, electrical activity, electrical shock, epilepsy, epileptic seizures, injury, leonidas, mathematical formula, seizure, university of florida