This case provides electrocardiographic evidence supporting a cardiac arrhythmia as a potential mechanism for sudden unexpected death in epilepsy (SUDEP).
Sudden unexpected death (SUD) occurred in an epileptic patient after a seizure. The patient had a witnessed seizure with electrocardiographic evidence of a cardiac arrhythmia. Immediate cardiopulmonary resuscitation in the hospital was ineffective. Autopsy revealed no anatomic cause of death. This case supports a cardiac cause for SUD in this patient. The mechanism of death remains speculative despite its setting in an epilepsy center. The seven-year experience with SUD at the epilepsy center is reviewed.
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Dasheiff et al. (1986) studied this question.
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