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Photosensitive epilepsy

Photosensitive epilepsy is a form of epilepsy in which seizures are triggered by flickering light or other visual stimuli, such as bold or moving patterns. Of those who suffer from epileptic seizures, between 3% and 5% are known to be of the photosensitive type (approximately two people per 10,000 of the general population). Often they have no other history of epilepsy. Females are more commonly affected than males, and there is distinct genetic correlation. more...

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In affected people, the symptoms usually first occur during childhood or adolescence and few people develop them after the age of 20. Sufferers generally learn to avoid the stimuli that trigger seizures and in many cases, the symptoms subside with time. There is no cure, although effective medication is available in appropriate cases.

Sensitivity is increased by alcohol consumption, sleep deprivation, and other forms of stress.

The response varies with the individual and can be any type of epileptic seizure, with characteristics ranging from a disconcerting loss of awareness to alarming fits. The seizure may be preceded by a period of disorientation sufficiently lengthy for the subject to take avoiding action, which may be simply to look away from the stimulus if possible, or to cover one eye so that fewer nerve cells are subjected to the stimulus.

Stimuli

Vulnerable people can be induced into seizure by any flickering light, such as from stroboscopic lamps in discotheques and faulty fluorescent lamps. The frequencies most likely to induce a seizure are between 15 Hz and 25 Hz (i.e. between 15 and 25 times per second), but some people are susceptible to frequencies as low as 3 Hz or as high as 50 Hz.

Travelling along tree-lined avenues with the sun flashing between the tree trunks can be a trigger, as can the flickering of sunlight among the leaves of trees as they move in the wind, or the reflection of light from the surface of rippling water.

Flashing light is not the only trigger and in some cases, looking at certain geometric patterns such as bold stripes or chequers can cause a seizure, or looking between railings while walking, or watching a rhythmically moving object such as a moving staircase.

Images displayed by some computer games can also trigger seizures, which is a particular hazard for affected children.

Television screens

Apart from the nature of any image displayed on a television screen, the way in which the screen functions can serve as a trigger. In particular, PAL, one of the colour encoding systems used in broadcast television (the standard in the UK), refreshes at an interlaced frame rate of 25 Hz (half the mains frequency) and is a known cause of seizures. In most circumstances, television screens are viewed from a distance such that the refresh is indiscernible, but with the trend towards larger television screens, the problem becomes more evident.

The triggering effect of a flickering light is greatly increased with the contrast it produces, and it is more likely to induce a seizure in an otherwise dark room compared to one with bright ambient lighting. So, watching television from a reasonable distance and in a well-lit room greatly reduces the likelihood of seizure.

Read more at Wikipedia.org


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Stroboscopic Goggles for Reduction of Motion Sickness
From NASA Tech Briefs, 3/1/05

The view is presented to wearer in snapshots to suppress retinal slip.

Lyndon B. Johnson Space Center, Houston, Texas

A device built around a pair of electronic shutters has been demonstrated to be effective as a prototype of stroboscopic goggles or eyeglasses for preventing or reducing motion sickness. The momentary opening of the shutters helps to suppress a phenomenon that is known in the art as retinal slip and is described more fully below.

While a number of different environmental factors can induce motion sickness, a common factor associated with every known motion environment is sensory confusion or sensory mismatch. Motion sickness is a product of misinformation arriving at a central point in the nervous system from the senses from which one determines one's spatial orientation. When information from the eyes, ears, joints, and pressure receptors are all in agreement as to one's orientation, there is no motion sickness. When one or more sensory input(s) to the brain is not expected, or conflicts with what is anticipated, the end product is motion sickness.

Normally, an observer's eye moves, compensating for the anticipated effect of motion, in such a manner that the image of an object moving relatively to an observer is held stationary on the retina. In almost every known environment that induces motion sickness, a change in the gain (in the signal-processing sense of "gain") of the vestibular system causes the motion of the eye to fail to hold images stationary on the retina, and the resulting motion of the images is termed retinal slip.

The present concept of stroboscopic goggles or eyeglasses (see figure) is based on the proposition that prevention of retinal slip, and hence, the prevention of sensory mismatch, can be expected to reduce the tendency toward motion sickness. A device according to this concept helps to prevent retinal slip by providing snapshots of the visual environment through electronic shutters that are brief enough that each snapshot freezes the image on each retina. The exposure time for each snapshot is less than 5 ms. In the event that a higher rate of strobing is necessary for adequate viewing of the changing scene during rapid head movements, the rate of strobing (but not the exposure time) can be controlled in response to the readings of rate-of-rotation sensors attached to the device.

The shutters are compact, fast-acting, low-voltage, low-current liquid-crystal display devices of the polymer-dispersed liquid-crystal type. The shutters are installed in the lens spaces in the goggle or eyeglass frame. Sensors that measure the rates of rotation about the yaw and pitch axis are attached to the frame. Also included is a controller unit that contains a low-frequency oscillator and a switchable driver that receives the rotation-sensor readings. As now envisioned, a user of a production version of the device could select any of at least four basic modes of operation:

* Mode 1: The device would be turned off.

* Mode 2: The shutters would be held transparent, allowing ordinary vision.

* Mode 3: The shutters would open at a standard stroboscopic flash rate of 4 Hz.

* Mode 4: The flash rate would be adjusted according to the sensed rates of rotation. The maximum flash rate would be 40 Hz.

The standard flash rate of 4 Hz was chosen partly on the basis of effectiveness in suppressing motion sickness and partly because it is low enough not to trigger seizures in most individuals afflicted with photosensitive epilepsy. (Approximately one person in 10,000 has photosensitive epilepsy, which is triggered by a number of visual phenomena, including, in most cases, lights flashing at rates between 15 and 20 Hz.) Preferably, individuals who have any form of epilepsy or any of a number of related disorders should not use this device.

This work was done by M. F. Reschke of Johnson Space Center and Jeffrey T. Somers of Wyle Laboratories.

This invention is owned by NASA, and a patent application has been filed. Inquiries concerning nonexclusive or exclusive license for its commercial development should be addressed to the Patent Counsel, Johnson Space Center, (281) 483-0837. Refer to MSC-23444.

Copyright Associated Business Publications Mar 2005
Provided by ProQuest Information and Learning Company. All rights Reserved

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