Skip to main content

Technical Issues for Video Game Developers and Architects to Prevent Photosensitivity

  • Chapter
  • First Online:
The Importance of Photosensitivity for Epilepsy

Abstract

Epileptic seizures can be triggered by specific visual stimuli, such as flickering lights and patterns. This is of special interest, considering the multitude of “real life” potential triggers, such as television and video games. The likelihood of television—and video games—induced seizures occurrence relies on several variables. Individual predisposition plays a central role. Monitor characteristics (i.e., flicker frequency, alternation rate, chromatic contrast) and content properties (i.e., brightness, emotional involvement) may also contribute to seizures occurrence in photosensitive subjects. Therefore, recommendations directed to the broadcast and TV industry have been developed in several countries, and some multinational consumer electronics and video game companies are currently financing studies on the risks deriving from visual stimulation. Environmental visual triggers include natural and artificial intermittent lights (i.e., solar rays flickering through tree leaves, discotheque stroboscopes, car headlights), and patterns (i.e., striped surfaces, escalator steps, banner advertisements). However, specific guidelines on preventive measures to limit the risks deriving from photosensitivity are lacking.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Italiano D, Ferlazzo E, Gasparini S, Spina E, Mondello S, Labate A, et al. Generalized versus partial reflex seizures: a review. Seizure. 2014;23:512–20.

    Article  Google Scholar 

  2. Ferlazzo E, Zifkin BG, Andermann E, Andermann F. Cortical triggers in generalized reflex seizures and epilepsies. Brain. 2005;128:700–10.

    Article  Google Scholar 

  3. Harding G, Wilkins AJ, Erba G, Barkley GL, Fisher RS, Epilepsy Foundation of America working Group. Photic- and pattern-induced seizures: expert consensus of the Epilepsy Foundation of America Working Group. Epilepsia. 2005;46:1423–5.

    Article  Google Scholar 

  4. Ricci S, Vigevano F. The effect of video-game software in videogame epilepsy. Epilepsia. 1999;40(Suppl 4):31–7.

    Article  Google Scholar 

  5. Kasteleijn-Nolst Trenité DGA. Photosensitivity in epilepsy: electrophysiological and clinical correlates. Acta Neurol Scand. 1989;125:3–149.

    Google Scholar 

  6. Jeavons PM, Harding GF. Photosensitive epilepsy: a review of the literature and a study of 460 patients. In: Clinics in developmental medicine, vol. 56. London: William Heineman Medical Books; 1975. p. 1–121.

    Google Scholar 

  7. Guerrini R, Bonanni P, Parmeggiani L, Thomas P, Mattia D, Harvey AS, et al. Induction of partial seizures by visual stimulation: clinical and electroencephalographic features and evoked potential studies. Adv Neurol. 1998;75:159–78.

    CAS  PubMed  Google Scholar 

  8. Stephani U, Tauer U, Koeleman B, Pinto D, Neubauer BA, Lindhout D. Genetics of photosensitivity (photoparoxysmal response): a review. Epilepsia. 2004;45:19–23.

    Article  CAS  Google Scholar 

  9. Italiano D, Striano P, Russo E, Leo A, Spina E, Zara F, et al. Genetics of reflex seizures and epilepsies in humans and animals. Epilepsy Res. 2016;121:47–54.

    Article  Google Scholar 

  10. Kasteleijn-Nolst Trenité DG, Schmitz B, Janz D, Delgado-Escueta AV, Thomas P, Hirsch E, et al. Consensus on diagnosis and management of JME: from founder’s observations to current trends. Epilepsy Behav. 2013;28(Suppl 1):87–90.

    Article  Google Scholar 

  11. Giuliano L, Fatuzzo D, Mainieri G, Maira G, Elia M, Ferlazzo E, et al. Eyelid myoclonia with absences: electroclinical features and prognostic factors. Epilepsia. 2019;60:1104–13.

    PubMed  Google Scholar 

  12. Ferlazzo E, Magaudda A, Striano P, Vi-Hong N, Serra S, Genton P. Long-term evolution of EEG in Unverricht-Lundborg disease. Epilepsy Res. 2007;73:219–27.

    Article  Google Scholar 

  13. Ferlazzo E, Adjien CK, Guerrini R, Calarese T, Crespel A, Elia M, et al. Lennox-Gastaut syndrome with late-onset and prominent reflex seizures in trisomy 21 patients. Epilepsia. 2009;50:1587–95.

    Article  Google Scholar 

  14. Ferlazzo E, Canafoglia L, Michelucci R, Gambardella A, Gennaro E, Pasini E, et al. Mild Lafora disease: clinical, neurophysiologic, and genetic findings. Epilepsia. 2014;55:e129–33.

    Article  CAS  Google Scholar 

  15. Franceschetti S, Michelucci R, Canafoglia L, Striano P, Gambardella A, Magaudda A, et al. Progressive myoclonic epilepsies: definitive and still undetermined causes. Neurology. 2014;82:405–11.

    Article  Google Scholar 

  16. Muona M, Berkovic SF, Dibbens LM, Oliver KL, Maljevic S, Bayly MA, et al. A recurrent de novo mutation in KCNC1 causes progressive myoclonus epilepsy. Nat Genet. 2015;47:39–46.

    Article  CAS  Google Scholar 

  17. Harding GF, Harding PF. Televised material and photosensitive epilepsy. Epilepsia. 1999;40(Suppl 4):65–9.

    Article  Google Scholar 

  18. Quirk JA, Fish DR, Smith SJ, Sander JW, Shorvon SD, Allen PJ. Incidence of photosensitive epilepsy: a prospective national study. Electroencephalogr Clin Neurophysiol. 1995;95:260–7.

    Article  CAS  Google Scholar 

  19. De Keyser J, Michotte A, Ebinger G. Television induced seizures in alcoholics. Br Med J. 1984;289:1191–2.

    Article  Google Scholar 

  20. Ferrie CD, De Marco P, Grunewald RA, Grünewald RA, Giannakodimos S, Panayiotopoulos CP. Video game induced seizures. J Neurol Neurosurg Psychiatry. 1994;57:925–31.

    Article  CAS  Google Scholar 

  21. Fisher RS, Harding G, Erba G, Barkley GL, Wilkins A. Photic- and pattern-induced seizures: a review for the Epilepsy Foundation of America Working Group. Epilepsia. 2005;46:1426–41.

    Article  Google Scholar 

  22. Fylan F, Harding GF. The effect of television frame rate on EEG abnormalities in photosensitive and pattern-sensitive epilepsy. Epilepsia. 1997;38:1124–31.

    Article  CAS  Google Scholar 

  23. Prasad M, Arora M, Abu-Arafeh I, Harding G. 3D movies and risk of seizures in patients with photosensitive epilepsy. Seizure. 2012;21:49–50.

    Article  Google Scholar 

  24. Funatsuka M, Fujita M, Shirakawa S, Oguni H, Osawa M. Study on photo-pattern sensitivity in patients with electronic screen game-induced seizures (ESGS): effects of spatial resolution, brightness, and pattern movement. Epilepsia. 2001;42:1185–97.

    Article  CAS  Google Scholar 

  25. Takahashi T, Tsukahara Y. Influence of color on the photoconvulsive response. Electroencephalogr Clin Neurophysiol. 1976;41:124–36.

    Article  CAS  Google Scholar 

  26. Tobimatsu S, Zhang YM, Tomoda Y, Mitsudome A, Kato M. Chromatic sensitive epilepsy: a variant of photosensitive epilepsy. Ann Neurol. 1999;45:790–3.

    Article  CAS  Google Scholar 

  27. Wilkins AJ. Visual stress. Oxford: Oxford University Press; 1995.

    Book  Google Scholar 

  28. Leijten FS, Dekker E, Spekreijse H, Kasteleijn-Nolst Trenité DG, Van Emde Boas W. Light diffusion in photosensitive epilepsy. Electroencephalogr Clin Neurophysiol. 1998;106:387–91.

    Article  CAS  Google Scholar 

  29. Harding GF, Jeavons PM. Photosensitive epilepsy. London: MacKeith Press; 1994.

    Google Scholar 

  30. Binnie CD, Findlay J, Wilkins AJ. Mechanisms of epileptogenesis in photosensitive epilepsy implied by the effects of moving patterns. Electroencephalogr Clin Neurophysiol. 1985;61:1–6.

    Article  CAS  Google Scholar 

  31. Piccioli M, Vigevano F, Buttinelli C, Kasteleijn-Nolst Trenité DG. Do video games evoke specific types of epileptic seizures? Epilepsy Behav. 2005;7:524–30.

    Article  Google Scholar 

  32. Naquet R, Bancaud J, Bostem F, Fischer-Williams M, Gloor P, Klass DW, et al. Activation and provocation methods in clinical neurophysiology. In: Rémond A, Naquet R, editors. Handbook of electroencephalography and clinical neurophysiology. Amsterdam: Elsevier; 1976. p. 3D89–3D104.

    Google Scholar 

  33. Wilkins AJ, Binnie CD, Darby CE. Visually-induced seizures. Prog Neurobiol. 1980;15:85–117.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

We wish to thank Jessie Solodar for helpful advice.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edoardo Ferlazzo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ferlazzo, E. et al. (2021). Technical Issues for Video Game Developers and Architects to Prevent Photosensitivity. In: Kasteleijn-Nolst Trenite, D. (eds) The Importance of Photosensitivity for Epilepsy. Springer, Cham. https://doi.org/10.1007/978-3-319-05080-5_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-05080-5_33

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-05079-9

  • Online ISBN: 978-3-319-05080-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics