Hiba Arif, Tariq Naseem.
Sudden unexpected death in Epilepsy.
Pak J Neurological Sci Jan ;1(2):89-91.
Every year, about one in 1000 patients with chronic severe epilepsy will die suddenly, unexpectedly and without warning. Explanations are not forthcoming, even on post-mortem examination. This well recognized clinical phenomenon is known as SUDEP (Sudden Unexpected Death in Epilepsy). For the past century, clinical series of proportionate mortality in patients with epilepsy have suggested an unusually high rate of unexplained deaths in such patients. These observations have sparked debate and raised concerns regarding possible prevention, risk factors, and the ethical challenge of discussing this small but real prospect of death with patients who are living with epilepsy. This is a review article.
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