Is there something special about cardiovascular abnormalities and sudden unexpected death in epilepsy among patients with chronic renal insufficiency in regular hemodialysis program?

Of the many risk factors suggested for sudden unexpected death in epilepsy (SUDEP), higher frequency of seizures is a very consistent issue. Following this reasoning, it has been established that hemodialysis-associated seizure is a complication of dialysis procedure. Based on these facts, this stud...

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Veröffentlicht in:Arquivos de neuro-psiquiatria 2009-06, Vol.67 (2A), p.209-213
Hauptverfasser: Gomes, Rui A, Kesrouani, Silvana, Cruz, Jenner, Silva, Alexandre L, Henriques, Tânia M G, Albuquerque, Marly de, Arida, Ricardo M, Sonoda, Eliza Y F, Cysneiros, Roberta M, Terra, Vera C, Scorza, Carla A, Cavalheiro, Esper A, Scorza, Fulvio A
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container_end_page 213
container_issue 2A
container_start_page 209
container_title Arquivos de neuro-psiquiatria
container_volume 67
creator Gomes, Rui A
Kesrouani, Silvana
Cruz, Jenner
Silva, Alexandre L
Henriques, Tânia M G
Albuquerque, Marly de
Arida, Ricardo M
Sonoda, Eliza Y F
Cysneiros, Roberta M
Terra, Vera C
Scorza, Carla A
Cavalheiro, Esper A
Scorza, Fulvio A
description Of the many risk factors suggested for sudden unexpected death in epilepsy (SUDEP), higher frequency of seizures is a very consistent issue. Following this reasoning, it has been established that hemodialysis-associated seizure is a complication of dialysis procedure. Based on these facts, this study investigated a possible association between cardiovascular abnormalities and SUDEP among patients with chronic renal insufficiency in regular hemodialysis program. For that, a retrospective medical history of 209 patients was reviewed to investigate the occurrence of convulsive seizures and EKG abnormalities during dialytic program. Three patients presented generalized tonic-clonic seizures, one had partial seizure with secondary generalization, and one presented unclassified seizure. Any EKG abnormalities and SUDEP event were found in all patients evaluated. In conclusion, the present findings demonstrated uncommon the occurrence of seizures and also SUDEP. Probably, the main justification to not allow us to demonstrated a direct relation between SUDEP and cardiovascular diseases in hemodialysis are the reduced number of cases examined.
doi_str_mv 10.1590/S0004-282X2009000200007
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ispartof Arquivos de neuro-psiquiatria, 2009-06, Vol.67 (2A), p.209-213
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0004-282X
language eng
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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Death, Sudden - etiology
Electrocardiography
Epilepsy - complications
Female
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - therapy
Male
Middle Aged
NEUROSCIENCES
PSYCHIATRY
Renal Dialysis - adverse effects
Retrospective Studies
Risk Factors
title Is there something special about cardiovascular abnormalities and sudden unexpected death in epilepsy among patients with chronic renal insufficiency in regular hemodialysis program?
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