Electroencephalography (EEG) analysis extracts critical information from brain signals, which has provided fundamental support for various applications, including brain-disease diagnosis and brain-computer interface. However, the real-time processing of large-scale EEG signals at high energy efficiency has placed great challenges for electronic processors on edge computing devices. Here, we propose the EEG opto-processor based on diffractive photonic computing units (DPUs) to effectively process the extracranial and intracranial EEG signals and perform epileptic seizure detection. The signals of EEG channels within a second-time window are optically encoded as inputs to the constructed diffractive neural networks for classification, which monitors the brain state to determine whether it's the symptom of an epileptic seizure or not. We developed both the free-space and integrated DPUs as edge computing systems and demonstrated their applications for real-time epileptic seizure detection with the benchmark datasets, i.e., the CHB-MIT extracranial EEG dataset and Epilepsy-iEEG-Multicenter intracranial EEG dataset, at high computing performance. Along with the channel selection mechanism, both the numerical evaluations and experimental results validated the sufficient high classification accuracies of the proposed opto-processors for supervising the clinical diagnosis. Our work opens up a new research direction of utilizing photonic computing techniques for processing large-scale EEG signals in promoting its broader applications.