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Mobile applications and wearable devices in epilepsy: effectiveness, safety, and practical recommendations for neurologists

Bartłomiej Labut1, Miraslau Kabak2, Konrad Puchalski3, Kamil Szczepański4, Maria Lewowska5, Aleksandra Pudzianowska6

Affiliation and address for correspondence
Aktualn Neurol 2025; 25 (4): 167–174
DOI: 10.15557/AN.2025.0027
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Abstract

Epilepsy is a common chronic neurological disorder that causes recurrent seizures, reduces quality of life, and increases the risk of unexpected death. The development of seizure-detection systems through mobile health technology has become possible due to rapid progress in wearable sensor technology and portable electroencephalography devices, and smartphonebased applications. This review examines existing research on these tools, which help treat epilepsy in both adult and paediatric patients. A medical literature search from 2015 to 2025 included systematic reviews and meta-analyses, randomised controlled trials, and clinical guidelines evaluating seizure-detection precision, self-management tools, telemonitoring functions, and patient-reported outcomes. Mobile applications which allow users to track seizures, send medication alerts, and access educational content show potential to enhance treatment compliance, although more research is needed to confirm their effectiveness. The combination of wearable devices with portable electroencephalography technology allows extended surveillance which successfully identifies generalised tonic-clonic seizures in clinical tests; however, their performance decreases when used in home environments because of increased false alerts. Telemedicine systems that combine application data with detector information allow healthcare providers to track patients remotely, which results in enhanced safety results for patients who have recurring seizures or nocturnal events. Future research should evaluate the medical value and deployment methods of mobile applications, wearable devices, and portable electroencephalography systems which show promise as innovative epilepsy treatment solutions.

Keywords
telemedicine, mobile applications, electroencephalography, epilepsy, wearable electronic devices

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