SciELO - Scientific Electronic Library Online

 
vol.67 issue4Correlations between subjective and objective features of nocturnal sleep and excessive diurnal sleepiness in patients with narcolepsyAlcohol consumption and sudden unexpected death in epilepsy: experimental approach author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Abstract

TERRA, Vera C. et al. Does sudden unexpected death in children with epilepsy occur more frequently in those with high seizure frequency?. Arq. Neuro-Psiquiatr. [online]. 2009, vol.67, n.4, pp. 1001-1002. ISSN 0004-282X.  http://dx.doi.org/10.1590/S0004-282X2009000600007.

People with epilepsy are more likely to die prematurely and the most common epilepsy-related category of death is sudden unexpected death in epilepsy (SUDEP). Several studies have reported a moderate or high seizure frequency among SUDEP cases and SUDEP is considered rare in patients in remission. METHOD: We reviewed the occurrence of SUDEP in our epilepsy unit over an 8-year period to identify a potential association between seizure frequency and SUDEP occurrence in children with epilepsy. RESULTS: From 835 patients evaluated, 12 had suffered SUDEP and nearly all of the SUDEP cases in our children are related to chronic uncontrolled epilepsy (daily - 50.0%, two to four/week - 41.7%, monthly - 8.3%). CONCLUSION: SUDEP is not a rare event in children and increased mortality was recorded in those individuals who had not responded to pharmacologic treatment. Improved seizure control seems to be one of the most important measures to prevent SUDEP.

Keywords : epilepsy; children; sudden death; seizure frequency.

        · abstract in Portuguese     · text in English     · pdf in English