Sudden unexpected death in epilepsy (SUDEP): subject-related risk factors

Evidence-based neurology checklist on sudden unexpected death in epilepsy (sudep): subject-related risk factors: Individual risk factors Adult age Male gender Duration of epilepsy >15 years Onset age of epilepsy <16 years Learning difficulty Obstructive sleep apnoea (OSA) Cardiac autonomic…

Individual risk factors

  • Adult age
  • Male gender
  • Duration of epilepsy >15 years
  • Onset age of epilepsy <16 years
  • Learning difficulty
  • Obstructive sleep apnoea (OSA)
  • Cardiac autonomic dysfunction
  • Short term heart rate variability (HRV)

Behavioural risk factors

Possible genetic risk mutations

Radiological risk features

References

  1. Harden C, Tomson T, Gloss D, et al. 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 2017; 88:1674-1680. 
  2. Hesdorffer DC, Tomson T, Benn E, et al. Combined analysis of risk factors for SUDEP. Epilepsia 2011; 52:1150-1159.
  3. So EL, Bainbridge J, Buchhalter JR, et al. Report of the American Epilepsy Society and the Epilepsy Foundation Joint Task Force on sudden unexplained death in epilepsy. Epilepsia 2009; 50:917-922.
  4. Tomson T, Nashef L, Ryvlin P. Sudden unexpected death in epilepsy: current knowledge and future directions. Lancet Neurol 2008; 7:1021-1031.
  5. Lhatoo SD, Faulkner HJ, Dembny K, Trippick K, Johnson C, Bird JM. An electroclinical case-control study of sudden unexpected death in epilepsy. Ann Neurol 2010; 68:787-796.
  6. And 15 more. Subscribe to see the full list

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