ArticleEpilepsia2023
Duration of epileptic seizure types: A data-driven approach.
Article in Epilepsia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 40 citations in OpenAlex.
- Self-Reported Seizure Durations.JAMA neurology · 2026Article
- Article
- Patient-independent automated pediatric seizure monitoring based on expert-labeled electrographic ictal data as core reference knowledge.Clinical and experimental pediatrics · 2026Article
- Inter-rater reliability and clinical utility of the BASED score in infantile epileptic spasms syndrome.Epileptic disorders : international epilepsy journal with videotape · 2026Article
- Unlocking Insights from Postictal EEGs: Investigating Predictive Markers of Seizure Recurrence.Annals of biomedical engineering · 2026Article
- Long-term exposure to polystyrene microplastics exacerbates seizure symptoms via lipid metabolic disruption and ferroptosis: insights from multi-omics analyses.Journal of nanobiotechnology · 2026Article
- The Role of GABA and Its Receptors in Temporal Lobe Epilepsy.Biomolecules · 2026Review
- Article
- Seminars in epileptology: How to diagnose status epilepticus in adults and children.Epileptic disorders : international epilepsy journal with videotape · 2025Review
- Tailoring antiseizure treatment with a wearable device: A proof-of-concept study in absence epilepsy.Epilepsia · 2025Article
- Acute Onset of Impaired Consciousness.Deutsches Arzteblatt international · 2024Review
- Rapid Rescue Treatment with Diazepam Nasal Spray Leads to Faster Seizure Cluster Termination in Epilepsy: An Exploratory Post Hoc Cohort Analysis.Neurology and therapy · 2024Article
- Automated analysis and detection of epileptic seizures in video recordings using artificial intelligence.Frontiers in neuroinformatics · 2024Article
- Immediate Treatment of Seizure Clusters: A Conceptual Roadmap to Expedited Seizure Management.Neuropsychiatric disease and treatment · 2024Review
- Accuracy of patient-reported spell duration: A comparative study.Epilepsy & behavior : E&B · 2024Article
- Article
- Duration of epileptic seizure types: A data-driven approach.Epilepsia · 2023Article
- Diagnosing epileptic seizures using combined features from independent components and prediction probability from EEG data.Digital healthArticle
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the duration of epileptic seizure types in patients who did not undergo withdrawal of antiseizure medication.
methodsFrom a large, structured database of 11 919 consecutive, routine video-electroencephalograpy (EEG) recordings, labeled using the SCORE (Standardized Computer-Based Organized Reporting of EEG) system, we extracted and analyzed 2742 seizures. For each seizure type we determined median duration and range after removal of outliers (2.5-97.5 percentile). We used surface electromyography (EMG) for accurate measurement of short motor seizures.
resultsMyoclonic seizures last <150 ms, epileptic spasms 0.4-2 s, tonic seizures 1.5-36 s, atonic seizures 0.1-12,5 s, when measured using surface EMG. Generalized clonic seizures last 1-24 s. Typical absence seizures are rarely longer than 30 s (2.75-26.5 s) and atypical absences last 2-100 s. In our patients, the duration of focal aware (median: 27 s; 1.25-166 s) and impaired awareness seizures (median: 42.5 s; 9.5-271 s) was shorter than reported previously in patients undergoing withdrawal of antiseizure medication. All focal seizures terminated within 10 min. Median duration of generalized tonic-clonic seizures was 79.5 s (57-102 s) and of focal-to-bilateral tonic-clonic seizures was 103.5 (77.5-237 s). All tonic-clonic seizures terminated within 5 min. SIGNIFICANCE: This comprehensive list of seizure durations provides important information for characterizing seizures and diagnosing patients with epilepsy. The upper limits of seizure durations are helpful in early recognition of imminent status epilepticus.
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