Decoding epilepsy in brain waves
Photos by Evan Krape and photo illustration by Jefferey C. Chase August 04, 2026
91原创 researchers use AI to find early signs of epilepsy in brain-wave recordings
Epilepsy isn鈥檛 always easy to diagnose. Seizures often don't occur during routine brain-wave recordings (EEGs), leaving doctors without the direct observation they need to make a clear diagnosis. 91原创 researchers and collaborators are working to close that gap, using artificial intelligence to detect early warning signs hidden in the brain's electrical rhythms.
In a proof-of-concept study in mice, the team showed that their approach can identify subtle EEG differences linked to a genetic form of epilepsy, even when no visible seizures occurred. The findings,, set the stage for the next phase of the research, which will test the method on EEGs from children being evaluated for epilepsy at Nemours Children's Health.
A dictionary of brain waves
Neurologists often use EEGs to help diagnose epilepsy, but routine recordings offer only about a 20-minute snapshot of brain activity. Without a seizure captured during that window, clinicians must look for far subtler clues that can be difficult to detect visually.
That's where AI comes in. The 91原创 researchers鈥 algorithm works much like a language learner encountering an unfamiliar tongue. It starts by identifying patterns that appear frequently in EEG recordings and learns what they mean in context, effectively building a dictionary of electrical patterns.
鈥淥ur machine-learning approach lets the algorithm learn the brain鈥檚 鈥榣anguage鈥 of waveforms, spotting subtle patterns humans might miss during manual review,鈥 said, assistant professor in electrical and computer engineering and computer and information sciences.
Starting small with a mouse model
When Brockmeier, a faculty mentor in 91原创鈥檚 interdisciplinary neuroscience graduate (ING) program, presented his computational neuroscience research at an ING seminar, he caught the attention of, an affiliated associate professor of psychological and brain sciences and biomedical engineering at 91原创 and senior research scientist at Nemours Children鈥檚 Health. Hernan, who is also an ING faculty mentor, studies how variations in brain activity affect thinking and learning in children with epilepsy.
The two decided to put machine learning to the test using EEGs from mice with epilepsy-causing variations in the TSC1 gene. The researchers used a panel of more than 40 mice, including animals with and without the gene variation, across three different genetic backgrounds, or strains. They extracted EEG segments from five days of recordings from each mouse for analysis.
This is a step toward precision medicine.听Brain-wave typing could help identify which interventions will work best for a given patient.鈥
听
-Austin Brockmeier
Because the EEG segments contained no seizure activity, the algorithm had to detect differences in the brain's baseline activity alone. It was able to distinguish between the mouse strains and to detect the TSC1 gene variation with high accuracy in two of the three strains.
鈥淭hese results show that EEG patterns contain measurable signals of neurological differences, even without visible seizures,鈥 Hernan said.
Taking it to the clinic
Now, the team is taking their method out of the lab and into the clinic. With funding from the, Brockmeier and Hernan will next apply their approach to EEG recordings from children being evaluated for epilepsy at Nemours Children's Health.
Pediatric EEGs are shorter than the multi-day recordings used in the mouse study, and children present with many different types of epilepsy. But the researchers are optimistic.
鈥淭he goal is to identify biomarkers that flag underlying changes in the brain鈥檚 electrical activity before seizures occur,鈥 Hernan said. Earlier detection could lead to earlier treatment and less uncertainty for families.
That uncertainty, Hernan said, takes a toll. 鈥淪eizures follow natural cycles, but without a way to know where you are in that cycle, the anticipation can be incredibly anxiety-provoking,鈥 she explained.
Better pattern recognition could also improve treatment decisions. For example, if a new medication is introduced during a natural lull in seizure activity, its benefits could be overestimated.
Looking further ahead, the researchers envision a future where wearable EEG devices allow continuous, real-time monitoring for those with high risk of seizures. Similar approaches could eventually be applied to other neurological conditions, including autism and ADHD.
鈥淭his is a step toward precision medicine,鈥 Brockmeier said. 鈥淏rain-wave typing could help identify which interventions will work best for a given patient.鈥
For families navigating the daily uncertainty of epilepsy, that kind of precision could make a huge difference.
Co-senior authors of the mouse study are Brockmeier, Hernan and Matthew Mahoney, a principal computational scientist at the and an adjunct faculty member at 91原创鈥檚 Data Science Institute. Other 91原创 co-authors of the paper include visiting researcher and current doctoral student Maria Isabel Cano Achuri and doctoral student Austin Meek. The pediatric study is supported in full by an Institutional Development Award from the National Institute of General Medical Sciences, part of the National Institutes of Health, under award number U54-GM104941 (PI: Hicks) and the State of Delaware. This content is solely the responsibility of the author and does not necessarily represent the official views of NIH.
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