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January 29, 2019Current Opinion in Neurology

The overall incidence of sudden unexpected death in epilepsy is 1.2/1000 patient-years, with generalized tonic-clonic seizures as a key risk factor, while reliable predictive biomarkers remain elusive.

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Why the study?

The review aimed to update knowledge regarding sudden unexpected death in epilepsy patient (SUDEP) risks, risk factors, and investigations of putative biomarkers based on suspected mechanisms of SUDEP.

Design

Review

Key result

The overall incidence of sudden unexpected death in epilepsy is 1.2/1000 patient-years, with generalized tonic-clonic seizures as a key risk factor, while reliable predictive biomarkers remain elusive.

Authors

PRPhilippe RyvlinSRSylvain RheimsSLSamden D. Lhatoo

Discussion

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Member takes

Overview

Supports GTCS frequency monitoring for SUDEP risk stratification; leaves open reliable biomarker development.

Structured PICO

P
Population
Adults and children with epilepsy
O
Outcome
Sudden unexpected death in epilepsy patient (SUDEP)

This review highlights that while clinical risk factors like generalized tonic-clonic seizure frequency are well established for SUDEP, reliable predictive biomarkers remain elusive.

Limitations

  • Missing reliable predictors of SUDEP beyond the well established clinical risk factors

Cite This Study

Ryvlin et al. (2019) conducted a review in Sudden unexpected death in epilepsy (SUDEP). Risk factors and biomarkers was evaluated on Incidence of SUDEP. The overall incidence of sudden unexpected death in epilepsy is 1.2/1000 patient-years, with generalized tonic-clonic seizures as a key risk factor, while reliable predictive biomarkers remain elusive.

synapsesocial.com/papers/6a82d9b60de57fd8eeb29809https://doi.org/10.1097/wco.0000000000000668
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Also Consider

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

  1. 1Sudden unexpected death in epilepsy (SUDEP) – risk factors2025 · 1 citations
  2. 2SUDEP update 2026: recent advances in experimental and clinical research2026 · 1 citations
  3. 3Current perspectives in sudden unexpected death in epilepsy (SUDEP): epidemiology, research approaches and pathways to prevention2026 · 3 citations
  4. 4Translational Research Symposium: Current State of SUDEP Research2026
  5. 5Risk Factors in Sudden Death in Epilepsy (SUDEP): The Quest for Mechanisms2007 · 192 citations