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The design of a high-density neural recording system targeting epilepsy monitoring is presented. Circuit challenges and techniques are discussed to optimize the amplifier topology and the included OTA. A new platform supporting active recording devices targeting wireless and high-resolution focus localization in epilepsy diagnosis is also proposed. The post-layout simulation results of an amplifier dedicated to this application are presented. The amplifier is designed in a UMC 0.18μm CMOS technology, has an NEF of 2.19 and occupies a silicon area of 0.038 mm2, while consuming 5.8 μW from a 1.8-V supply. © 2012 IEEE.