Can a single AI foundation model deliver expert-level, comprehensive automated EEG interpretation across all major clinical settings (routine outpatient, epilepsy monitoring units, ICU, sleep labs) and across the full spectrum of clinically relevant patterns (seizures, epileptiform discharges, rhythmic and periodic patterns of the ictal–interictal–injury continuum, pathological slowing, sleep staging)?
Does preventative vigabatrin started at first epileptiform EEG activity, before clinical seizure onset, improve neurocognitive outcomes and prevent drug-resistant epilepsy in infants with TSC?
PREVeNT
Early Treatment with Vigabatrin Does Not Decrease Focal Seizures or Improve Cognition in Tuberous Sclerosis Complex: The PREVeNT Trial
Bottom Line: Preventative vigabatrin initiated based on EEG epileptiform activity prior to seizure onset did not improve neurocognitive outcomes at 24 months in infants with TSC, nor did it reduce or delay the onset of focal seizures or drug-resistant epilepsy. However, it was associated with lower incidence and later onset of infantile…