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February 1, 1984Epilepsia

Sudden Unexpected Death Associated with Seizures: Analysis of 66 Cases

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Population

66 cases of sudden unexpected death in persons with seizure disorders, age 10 months to 60 years, examined…

Design

Case_series

Authors

JLJan E. LeestmaNorthwestern UniversityMKMitra B. KalelkarNorthwestern UniversitySTShaku S. TeasNorthwestern University

Discussion

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Implication

Subtherapeutic anticonvulsant levels may raise SUDEP risk via arrhythmias; case reports leave mechanisms open for prospective study.

Structured PICO

P
Population
66 cases of sudden unexpected death (SUD) in persons with seizure disorders, age 10 months to 60 years (mean age 28 years), examined by the Office of the Medical Examiner, Cook County (Chicago), Illinois.
O
Outcome
Autopsy findings, circumstances of death, neuropathological findings, and anticonvulsant blood levels

Sudden unexpected death in epilepsy is frequently associated with subtherapeutic anticonvulsant levels and may involve cardiac arrhythmias mediated by sympathetic autonomic events during seizures.

Cite This Study

Leestma et al. (1984) studied this question.

synapsesocial.com/papers/6a71208bc2d7c309082703f1https://doi.org/10.1111/j.1528-1157.1984.tb04159.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Autonomic Dysfunction in Epilepsy: Characterization of Autonomic Cardiac Neural Discharge Associated with Pentylenetetrazol‐Induced Epileptogenic Activity1982 · 184 citations
  2. 2A Correlation of Autonomic and EEG Components in Temporal Lobe Epilepsy1960 · 104 citations
  3. 3Epilepsy and Mortality Rate and Cause of Death1974 · 202 citations
  4. 4THE PROGNOSIS OF PATIENTS WITH EPILEPSY1969 · 120 citations
  5. 5Prevalence of Epilepsy in Children1973 · 89 citations