New research finds pet dogs can predict owner’s epileptic seizures

New research led by Queen’s University Belfast has shown that dogs can predict epileptic seizures, offering a warning sign to owners that has the potential to save lives.  

Epileptic seizures are associated with a specific smell which is detectable by pet dogs. The study analysed the reaction of dogs to odours and found that the dogs could predict when a seizure was imminent.  

A reliable early warning system to make people with epilepsy aware of an impending seizure has the potential to save lives, reduce injury, provide an opportunity for medical intervention and return a sense of independence to those living with unpredictable seizures. 

Epilepsy is a debilitating and potentially life-threatening neurological condition which affects approximately 65 million people worldwide, of whom 30% (20 million), are unable to control their seizures by medication. There is currently no reliable and simple early warning seizure-onset device available, which means many people with unstable epilepsy live in fear of injury or sudden death and the negative impact of social stigmatization. 

There have been anecdotal accounts of pet dogs predicting their owner’s epileptic seizures by becoming attentive and by demonstrating attention-seeking behaviours, but to date no scientific study has investigated the veracity of these claims. 

Lead researcher Dr Neil Powell (above), from the School of Biological Sciences at Queen’s University Belfast, said: “We hypothesized that, given the extraordinary sense of smell of dogs, a volatile organic compound exhaled by the dog’s epileptic owner may provide an early warning trigger mechanism to which make dogs react before the seizure. The results have shown pet dogs to be a reliable source to detect an on-set seizure.” 

The study has been published in the journal MDPI Animals. 

The researchers explored how a cohort of pet dogs reacted to the emergence of seizure-associated odours. Using two specially designed pieces of apparatus called the Remote Odour Delivery Mechanism (RODM), the researchers separately delivered epileptic seizure-associated odours and nonseizure associated odours and recorded the reactions of the dogs to each. 

Using 19 pet dogs with no experience of epilepsy, the researchers exposed them to odours that were deemed to be characteristic of three seizure phases, by using sweat harvested from people with epilepsy.

By altering the alternating odours emerging from sweat samples, captured before seizure, during a seizure and after a seizure, and two nonseizure controls, the researchers recorded the response of the 19 pet dogs. 

They found that all 19 dogs demonstrated more affiliative behavioural changes when confronted by seizure-associated odours, compared with their response to control odours.  

Dr Powell added: “Our findings clearly showed that all dogs reacted to the seizure-associated odour whether this was through making eye contact with their owner, touching them, crying or barking. There is a unique volatile smell linked to epiletic seizures, detectable by dogs who can in-turn warn their owner a seizure is likely to occur.  

“Our research was based on pet dogs with no prior training. If we can train dogs, this has the potential to make a big difference to owners who experience unpredictable seizures and should go a long way in improving not only their safety, but also their quality of life.”  

The research was funded by and conducted in partnership with Epilepsy Ireland and Disability Assistance Dogs. 

Peter Murphy, CEO of Epilepsy Ireland, said: “A reliable method of seizure prediction and detection is the holy grail for many people living with epilepsy as well as the parents of children with the condition.

“This is especially the case where seizures involve the loss of consciousness, with a high risk of injury. While recent efforts have focused on technological solutions, it is exciting and very welcome news that anecdotal reports of dogs’ ability to predict seizures have now been backed up by scientific evidence.

“We have been immensely proud to support Dr. Powell’s work and we hope that the findings will lead to new approaches alongside ‘man’s best friend’ that promote safety and offer reassurance for people living with epilepsy.” 

Cutting Edge: Laser Epilepsy Surgery to be brought to Scotland

·        This is the first time MRI-guided Laser Interstitial Thermal Therapy (LITT) will be available in Scotland 

·        The surgery is currently only available at Great Ormond Street Hospital in London or in Houston, Texas 

·        The current surgery choice in Edinburgh is open brain surgery, which is around seven hours and leaves an ear to ear scar. LITT will reduce this to two hours and is much less invasive 

·        Children and young people who will be referred for this surgery have refractory (medication resistant) epilepsy and can have up to 100 ‘drop down’ seizures a day 

·        In appropriately selected cases, LITT surgery can stop seizures entirely and cure the child’s epilepsy 

Children and young people living with severe epilepsy in Scotland will have the life-changing chance to be seizure free, thanks to the funding of a world class laser coming to Edinburgh’s new children’s hospital.  

A partnership between the Welch Trust, Edinburgh Children’s Hospital Charity (ECHC) and NHS Lothian is bringing MRI-guided Laser Interstitial Thermal Therapy (LITT) for Edinburgh’s Royal Hospital for Children and Young People (RHCYP) – the first time this laser technology will be available in Scotland.  

LITT is a new and proven, minimally invasive treatment which uses a laser to remove brain tissue that is causing seizures. Children and young people who will be referred for laser surgery are diagnosed with refractory (medication resistant) epilepsy; they may experience severe and frequent ‘drop down’ seizures, up to 100 in one day. In appropriately selected cases, laser surgery can stop seizures entirely and cure the child’s epilepsy.  

LITT surgery treatment is currently only available at Great Ormond Street Hospital (GOSH) and in Houston, Texas. The laser equipment will be part of the Scottish National Paediatric Epilepsy Surgery Service, based at the RHCYP in Edinburgh, meaning children will come to the capital from all over Scotland to have the surgery. 

The current surgery choice practiced in Edinburgh is open brain surgery, which lasts around seven hours, has a longer recovery time and results in a scar across the top of the child’s head.

The LITT precision technology will reduce this surgery time to around two hours, is much less invasive and has a shorter recovery time. It is expected that up to six children a year could benefit from the laser surgery, aged from infants to adolescents, with a similar number of adults also benefitting annually. 

Following a request from the National Epilepsy Surgery Service to ECHC to support this initiative, the charity identified the Welch Trust as the ideal funder and agreed a partnership to make this project a reality. 

Victoria Welch, Trustee of the Welch Trust, said: “We are very proud to be able to gift this LITT technology to the new Royal Hospital for Children and Young People. As a Paediatric Nurse, I understand the importance of having the best equipment in the hospital to expedite the curing of patients with complicated conditions and ultimately save lives.  

“When we were made aware of this need, we didn’t have to think too long about it. Our focus continues to be to invest in high impact programmes that save lives or significantly improve the quality of life for very sick or terminally ill children. We look forward to continuing our partnership with the Edinburgh Children’s Hospital Charity and expanding our support across other areas of critical care.”  

Roslyn Neely, CEO of Edinburgh Children’s Hospital Charity, said: “With the new children’s hospital now open, we are thrilled to have partnered with the Welch Trust to bring the world-class LITT equipment to Scotland for the first time.    

“It is always very satisfying for us to be able to join with another funder who have a similar desire to support the hospital with projects that will transform children’s health. 

“Having the laser surgery available in Edinburgh gives families more choice in their place of care and means they will no longer need to endure the financial and emotional cost of national or international travel and separation at a very stressful time. It will also place Edinburgh and NHS Lothian on the map as a world-leading provider of epilepsy surgery and treatment.” 

Dr Edward Doyle, Associate Medical Director, Women and Children’s Services, NHS Lothian said: “Across NHS Lothian, we continually look at new and emerging technology and treatments to see how they could benefit our patients.

“We are delighted that through the support of both the Welch Trust and Edinburgh Children’s Hospital Charity, we will be the first in Scotland and only the second location in the whole of the UK to offer LITT surgery. 

“Severe epilepsy can be very difficult to live with and puts an enormous strain on families. Having a world-class cutting edge treatment option available here in Lothian, which is both less invasive and which reduces recovery time, will make a huge difference to lives of children and their families across Scotland.

“This treatment really does have the potential to transform lives and our teams at the Royal Hospital for Children and Young People are delighted that they will soon be able to offer it as a treatment option.”

The new laser equipment is compatible with the intra-operative MRI suite at the RHCYP. It is expected to arrive in summer 2021, followed by a period of intensive training prior to the first surgery taking place. 

‘Stark disconnect’: Charity’s call for better understanding of the far-reaching impacts of epilepsy

42% of people with epilepsy in Scotland want you to know this one thing … (Purple Day, 26 March)

New research shows that public understanding of epilepsy doesn’t always match with the reality faced by those living with the condition. Friday 26 March is Purple Day, the global day for epilepsy, and a chance to redress the balance. There are over 55,000 people living with epilepsy in Scotland.

In Epilepsy Action’s new poll, nearly 1,000 people affected by epilepsy were asked for the one thing they wished the public knew about the condition.

42% of those surveyed in Scotland said they wished people knew that the impact of living with epilepsy goes far beyond seizures. Side-effects of medication, memory problems and impacted mental health are just some of the things that can affect people. 

A quarter (24%) of people said their biggest wish was for better awareness of the many different seizure types. Other hopes included more understanding that not all seizures are triggered by flashing lights and that epilepsy is a fluctuating condition.

However, new figures suggest much of the general public remains unaware of the ripple effect of the condition and are dismissive of how it affects people long-term. 

One in four people (23%) thought that epilepsy has no impact on a person’s life, aside from having seizures. A third said that the condition does not impact on a person’s mental health.

In one revealing statement, two thirds agreed with the suggestion that people ‘just need to be more positive when living with health conditions’. 

Yet, with a similar number of people (68%) saying they would be afraid to even witness someone having a seizure, the charity says this exposes a stark disconnect in understanding and compassion towards people with the condition.  

Louise Cousins, director of external affairs at Epilepsy Action, said: “These new insights are stark but not surprising. The impact of living with epilepsy can take a huge toll on people’s lives, their happiness and wellbeing.

“Everyone’s experience of epilepsy is different, but it can’t be overcome just by ‘being more positive’. This attitude needs to change. Lack of knowledge and empathy feeds into fearful, harmful assumptions and people with epilepsy feeling further misunderstood and dismissed.

“By giving them a voice and encouraging conversations on Purple Day, we can really improve society’s knowledge and compassion and close the gap on this chasm of understanding.”

Yorkshire comedian Maisie Adam was diagnosed with epilepsy when she was 14. She is backing the campaign: “It’s totally normal for people to have those misconceptions about epilepsy, because of the information that’s out there at the moment. So much is frustratingly simplified, Hollywood-ified, it’s very bite-sized.

“It’s just the understanding that’s important and I think that comes from both sides. It’s about us being understanding of why people have those misconceptions but just hoping that people don’t assume – that they can hold back on any assumptions until the facts have been given. Epilepsy is so different for every single person.

“Be open to that huge variation. You’ll have your misconceptions, but don’t assume.”

Epilepsy Action has released a new awareness video on YouTube to coincide with Purple Day and to promote understanding of the condition. The charity is also urging supporters to take part in virtual fundraisers and to celebrate #purpleday on social media.

Support and information for anyone affected by epilepsy are available at epilepsy.org.uk or by calling the Epilepsy Action helpline on 0808 800 5050.

To support Epilepsy Action’s Purple Day appeal and help people affected by epilepsy, visit epilepsy.org.uk/purple

Twilight treat as Scotland turns purple this Saturday

WATCH the skyline glow this Saturday as landmarks from Shetland to the Borders help to highlight international Purple Day for epilepsy – and look out for purple sheep!

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Several local councils, public bodies and commercial companies are supporting Epilepsy Scotland’s public awareness campaign by having Scottish landmarks Turn Scotland Purple to get people talking about epilepsy. Continue reading Twilight treat as Scotland turns purple this Saturday