Abstract: A patient monitoring system for the real-time detection of epileptic seizures suffered by a user of the monitoring system. The system comprises control means for receiving measuring signals and, conditional upon the measuring signals, generating an alarm signal, at least one hart rate sensor for measuring the heart rate of the user and, subject to the measurement, generating a heart rate signal, and at least one muscular tension sensor for measuring the change and the intensity of the contraction of at least one muscle of the user and, subject to the measurement, generating a muscle contraction signal. The control means are designed for, subject to both the heart signal and the muscle contraction signal, generating an alarm signal when the user suffers an epileptic seizure.