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The prevalence of post-therapy epilepsy in patients treated for high-grade glia...

Ferreira, Marta Pereira; Carvalho, Ruben Lopes; Soares, Joana Isabel; Casalta‑Lopes, João; Borges, Daniel Filipe; Borges, Daniel Filipe

Gliomas are the most prevalent type of primary brain tumor of the adult central nervous system. High-grade gliomas (HGG) are the most common type of glioma. Epilepsy is often the first clinical manifestation of HGG. Since epilepsy leads to increased morbidity and mortality rates, seizure control is one of the main therapeutic goals for patients with glioma-related epilepsy. Post-therapy epilepsy is observed in ...


Spike detection in the wild: Screening of suspected temporal lobe epilepsy case...

Borges, Daniel Filipe; Soares, Joana Isabel; Dias, Daniela; Cordeiro, Helena; Leal, Alberto; Borges, Daniel Filipe

To clinically validate the contribution of a custom-built-wearable device (waEEG) compared to a full 10–20 electrode array ambulatory EEG (aEEG) for screening epilepsy cases in patients with suspected temporal lobe epilepsy (TLE) but negative routine EEGs. Patients (aged 16–91 years) with clinically suspected TLE who were referred for a 24 h aEEG were fitted with an additional 2-channel bipolar waEEG device and...


Bridging surface and depth: A systematic review of seizure patterns in simultan...

Santos, Cristiana; Borges, Daniel Filipe; Soares, Joana Isabel; Borges, Daniel Filipe

Drug-resistant epilepsy often requires invasive monitoring. Although simultaneous scalp EEG and stereo EEG are increasingly used together, their added value for preoperative evaluation and surgical planning remains uncertain and warrants systematic investigation. We systematically searched PubMed, Scopus and Web of Science for English- or Portuguese-language studies in which patients with drug-resistant epileps...


The role of actigraphy in the assessment of central disorders of Hypersomnolenc...

Maia, Susana; Soares, Joana Isabel; Borges, Daniel Filipe; Lopes, João Casalta; Gonçalves, Marta; Borges, Daniel Filipe

Actigraphy provides an objective measure of sleepiness and is recommended by the American Academy of Sleep Medicine for use 7–14 days prior to multiple sleep latency testing. It plays a valuable role in the differential diagnosis of hypersomnolence. Our aim was to provide a comprehensive summary of actigraphy features in central disorders of hypersomnolence (CDH). Data were sourced from six bibliographic databa...


Closing the temporal blind spot: Six additional electrodes increase patient-lev...

Batista, Carla; Soares, Joana Isabel; Coelho, Paulo; Ferreira, Simão; Rosenzweig, Ivana; Borges, Daniel Filipe; Borges, Daniel Filipe; Ferreira, Simão

To quantify the additional detection yield of the 25-channel electrodearray recommended by the International Federation of Clinical Neurophysiology(IFCN), which includes six inferior-temporal electrodes beyond the conventional 10–20 International System (IS) in identifying interictal epileptiform discharges(IEDs) and focal slow activity (SA). We analyzed 258 consecutive adult EEGs (routine or sleep-deprived; me...


Hippotherapy improves gross motor function in children with cerebral palsy: evi...

Bernardino, Inês; Borges, Daniel Filipe; Casalta Lopes, João; Soares, Joana Isabel; Borges, Daniel Filipe

"Hippotherapy uses horse movement to promote physical and psychosocial rehabilitation and may benefit children with cerebral palsy (CP). Standardised instruments such as the Activity Scale for Kids-Performance (ASK©), the Gross Motor Function Classification System (GMFCS) and the Gross Motor Function Measure (GMFM) are needed to quantify effects on motor function. To systematically review the effects of hippoth...


Response to: Does reliability benefit from superior visualization of epileptifo...

Batista, Carla; Soares, Joana Isabel; Coelho, Paulo; Ferreira, Simão; Rosenzweig, Ivana; Borges, Daniel Filipe; Borges, Daniel Filipe; Ferreira, Simão

We thank Dr. Kleine for his thoughtful letter regarding our study and for highlighting both the anatomical rationale and the recognized clinical relevance of inferior-temporal electrodes. We welcome the opportunity to clarify specific numerical points and to provide the inter-reviewer agreement data he requested. Our study was intentionally designed as a prospective, blinded, within-subject technical validation...


Comparative evaluation of artificial intelligence chatbots in answering electro...

Proença, Soraia; Soares, Joana Isabel; Parra, Joana; Maia, Gisela; Leite, Juliana; Beniczky, Sándor; Jesus-Ribeiro, Joana; Henrique Maia, Gisela Maria

As large language models (LLMs) become more accessible, they may be used to explain challenging EEG concepts to nonspecialists. This study aimed to compare the accuracy, completeness, and readability of EEG-related responses from three LLM-based chatbots and to assess inter-rateragreement. One hundred questions, covering 10 EEG categories, were entered into ChatGPT, Copilot, and Gemini. Six raters from the clin...


A custom-built single-channel in-ear electroencephalography sensor for sleep ph...

Borges, Daniel Filipe; Soares, Joana Isabel; Silva, Heloísa; Felgueiras, João; Batista, Carla; Ferreira, Simão; Rocha, Nuno; Leal, Alberto

Sleep is vital for health. It has regenerative and protective functions. Its disruption reduces the quality of life and increases susceptibility to disease. During sleep, there is a cyclicity of distinct phases that are studied for clinical purposes using polysomnography (PSG), a costly and technically demanding method that compromises the quality of natural sleep. The search for simpler devices for recording b...


Wearable sleep staging technology as an alternative to polysomnography: a syste...

Borges, Maria; Pereira, Telmo; Borges, Daniel Filipe; Soares, Joana Isabel

Introduction:Sleep is vital for health as it has regenerative and protective functions. During sleep, there is a cyclicity of different phases that are analysed and classified for clinical purposes using polysomnography (PSG), a costly and technically demanding method. The tremendous growth of sleep medicine, where demand for studies far outstrips supply, opens a window for the development of accurate, low-thre...


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