Sudden unexplained death in children with epilepsy : A cohort study with an eighteen-year follow-up

Sudden unexplained death is a significant cause of mortality in adults with epilepsy. Only a few data exist about this risk in childhood. Cases of sudden unexplained death in epilepsy (SUDEP) up to the age of 18 y occurring at our hospital between 1984 and 2001 were identified. The incidence rate wa...

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Veröffentlicht in:Acta pædiatrica (Oslo) 2005-05, Vol.94 (5), p.564-567
Hauptverfasser: WEBER, Peter, BUBL, Reinhard, BLAUENSTEIN, Ursula, TILLMANN, Bettina U, LÜTSCHG, Jürg
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container_title Acta pædiatrica (Oslo)
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creator WEBER, Peter
BUBL, Reinhard
BLAUENSTEIN, Ursula
TILLMANN, Bettina U
LÜTSCHG, Jürg
description Sudden unexplained death is a significant cause of mortality in adults with epilepsy. Only a few data exist about this risk in childhood. Cases of sudden unexplained death in epilepsy (SUDEP) up to the age of 18 y occurring at our hospital between 1984 and 2001 were identified. The incidence rate was calculated on the basis of diagnosed epileptics registered with a statutory disability insurance scheme. Four cases of SUDEP were identified during the 18-y period. The incidence of SUDEP was 4.3 per 10,000 patient-years. All children showed polytherapy-refractory epilepsy, developmental retardation and early-onset epilepsy. Two witnessed cases had shown no previous signs of seizure. SUDEP is rare in childhood. Children with uncomplicated epilepsy seem not to be at risk.
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Only a few data exist about this risk in childhood. Cases of sudden unexplained death in epilepsy (SUDEP) up to the age of 18 y occurring at our hospital between 1984 and 2001 were identified. The incidence rate was calculated on the basis of diagnosed epileptics registered with a statutory disability insurance scheme. Four cases of SUDEP were identified during the 18-y period. The incidence of SUDEP was 4.3 per 10,000 patient-years. All children showed polytherapy-refractory epilepsy, developmental retardation and early-onset epilepsy. Two witnessed cases had shown no previous signs of seizure. SUDEP is rare in childhood. Children with uncomplicated epilepsy seem not to be at risk.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>16188745</pmid><doi>10.1080/08035250410023872</doi><tpages>4</tpages></addata></record>
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anticonvulsants - therapeutic use
Biological and medical sciences
Child
Child, Preschool
Cohort Studies
Death, Sudden - epidemiology
Developmental Disabilities - complications
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Epilepsy - complications
Epilepsy - drug therapy
Epilepsy - epidemiology
Female
General aspects
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Incidence
Infant
Intensive care medicine
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Registries
Switzerland - epidemiology
title Sudden unexplained death in children with epilepsy : A cohort study with an eighteen-year follow-up
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