Abstract-We apply convolutional neural networks (ConvNets) to the task of distinguishing pathological from normal EEG recordings in the Temple University Hospital EEG Abnormal Corpus. We use two basic, shallow and deep ConvNet architectures recently shown to decode task-related information from EEG at least as well as established algorithms designed for this purpose. In decoding EEG pathology, both ConvNets reached substantially better accuracies (about 6% better, ≈85% vs. ≈79%) than the only published result for this dataset, and were still better when using only 1 minute of each recording for training and only six seconds of each recording for testing. We used automated methods to optimize architectural hyperparameters and found intriguingly different ConvNet architectures, e.g., with max pooling as the only nonlinearity. Visualizations of the ConvNet decoding behavior showed that they used spectral power changes in the delta (0-4 Hz) and theta (4-8 Hz) frequency range, possibly alongside other features, consistent with expectations derived from spectral analysis of the EEG data and from the textual medical reports. Analysis of the textual medical reports also highlighted the potential for accuracy increases by integrating contextual information, such as the age of subjects. In summary, the ConvNets and visualization techniques used in this study constitute a next step towards clinically useful automated EEG diagnosis and establish a new baseline for future work on this topic.I. I Electroencephalography (EEG) is widely used in clinical practice because of its low cost and its lack of side effects due to its noninvasive nature. It is important both as a screening method as well as for hypothesis-based diagnostics, e.g., in epilepsy or stroke. One of the main limitations of using EEG for diagnostics is the required time and specialized knowledge of experts that need to be well-trained on EEG diagnostics to reach reliable results. Therefore, a machine-learning approach that aids in the diagnostic process could make EEG diagnosis more widely accessible, reduce time and effort for clinicians and potentially make diagnoses more accurate.In recent years researchers have increasingly addressed the field of computer-aided EEG diagnosis. So far, the applications were mostly limited to specific diagnoses such as Alzheimer's disease regression, neural networks, and more. This large variety of used methods indicates that the search for the best decoding approach for diverse types of EEG diagnosis is still ongoing.To overcome the lack of large datasets representative of the variety of EEG-diagnosable diseases and the heterogeneity of clinical populations, the Temple University Hospital (TUH) has published an unprecedented public dataset of clinical EEG recordings [6]. From this dataset with over 16000 clinical recordings, the TUH Abnormal EEG Corpus with about 3000 recordings has been created specifically to foster the development of methods for distinguishing pathological from normal EEG. Due to its size and rich annotatio...