Detection of Tonic-Clonic Seizures using Wavelet Entropy of Scalp EEG

Epilepsy is the most common chronic neurologic disorder characterized by the recurrence of unprovoked seizures. These seizures are paroxysmal events that result from abnormal neuronal discharges and are categorized into various types based on the clinical manifestations and localization. Tonic-Clonic seizures (TCSZ) may lead to injuries, and constitute the major risk factor for sudden unexpected death in epilepsy (SUDEP), especially in unattended patients. Therapeutic decisions and clinical trials rely on Video EEG which is not practical outside of clinical setting. In this study, wavelet entropy of scalp EEG signals are utilized to discriminate the seizures with and without clinical manifestations. The scalp EEG records from the publically available Temple University Hospital (TUH) dataset are considered for this work. A sevenlevel, fourth order Daubechies (db4) wavelet is utilized for the decomposition of first four seconds of scalp EEG during seizures. The entropy is extracted from the resultant coefficients and are used to develop SVM based models. Most of the extracted features found to have significant differences (p<0.05). The results show that polynomial SVM model achieves an accuracy of 95.5%, positive predictive value (PPV) of 99.4%, negative predictive value (NPV) of 91.57% and F-Score of 95.9%. Therefore, the proposed approach could be a support in detecting life-threatening seizures.