Back الموت المفاجئ في حالات الصرع Arabic SUDEP Czech SUDEP German Muerte súbita inesperada por epilepsia Spanish Mort subite et inexpliquée en épilepsie French SUDEP Italian SUDEP NB Epilepside beklenmedik ani ölüm Turkish

Sudden unexpected death in epilepsy

Sudden unexpected death in epilepsy
SpecialtyNeurology

Sudden unexpected death in epilepsy (SUDEP) is a fatal complication of epilepsy.[1] It is defined as the sudden and unexpected, non-traumatic and non-drowning death of a person with epilepsy, without a toxicological or anatomical cause of death detected during the post-mortem examination.[2][3]

While the mechanisms underlying SUDEP are still poorly understood, it is possibly the most common cause of death as a result of complications from epilepsy, accounting for between 7.5 and 17% of all epilepsy-related deaths[2] and 50% of all deaths in refractory epilepsy.[4][5] The causes of SUDEP seem to be multifactorial[2] and include respiratory, cardiac, and cerebral factors as well as the severity of epilepsy and seizures.[5] Proposed pathophysiological mechanisms include seizure-induced cardiac and respiratory arrests.[4]

Among epileptics, SUDEP occurs in about 1 in 1,000 adults and 1 in 4,500 children annually.[6] Rates of death as a result of prolonged seizures (status epilepticus) are not classified as SUDEP.[7]

  1. ^ Ryvlin, P; Nashef, L; Tomson, T (May 2013). "Prevention of sudden unexpected death in epirealistic goal?". Epilepsia. 54 Suppl 2: 23–8. doi:10.1111/epi.12180. PMID 23646967.
  2. ^ a b c Terra, VC; Cysneiros, R; Cavalheiro, EA; Scorza, FA (Mar 2013). "Sudden unexpected death in epilepsy: from the lab to the clinic setting". Epilepsy & Behavior. 26 (3): 415–20. doi:10.1016/j.yebeh.2012.12.018. PMID 23402930. S2CID 3777598.
  3. ^ Nashef, L; So, EL; Ryvlin, P; Tomson, T (Feb 2012). "Unifying the definitions of sudden unexpected death in epilepsy". Epilepsia. 53 (2): 227–33. doi:10.1111/j.1528-1167.2011.03358.x. PMID 22191982. S2CID 19119225.
  4. ^ a b Tolstykh, GP; Cavazos, JE (Mar 2013). "Potential mechanisms of sudden unexpected death in epilepsy". Epilepsy & Behavior. 26 (3): 410–4. doi:10.1016/j.yebeh.2012.09.017. PMID 23305781. S2CID 11221534.
  5. ^ a b Devinsky, Orrin (10 November 2011). "Sudden, Unexpected Death in Epilepsy". New England Journal of Medicine. 365 (19): 1801–1811. doi:10.1056/NEJMra1010481. PMID 22070477.
  6. ^ Harden, C; Tomson, T; Gloss, D; Buchhalter, J; Cross, JH; Donner, E; French, JA; Gil-Nagel, A; Hesdorffer, DC; Smithson, WH; Spitz, MC; Walczak, TS; Sander, JW; Ryvlin, P (25 April 2017). "Practice guideline summary: Sudden unexpected death in epilepsy incidence rates and risk factors: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Epilepsy Society". Neurology. 88 (17): 1674–1680. doi:10.1212/WNL.0000000000003685. PMID 28438841.
  7. ^ Tomson T, Nashef L, Ryvlin P (November 2008). "Sudden unexpected death in epilepsy: current knowledge and future directions". Lancet Neurology. 7 (11): 1021–31. doi:10.1016/S1474-4422(08)70202-3. PMID 18805738. S2CID 5087703.

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