ArticleAcute medicine & surgery
Near-Sudden Unexpected Death in Epilepsy Rescued by Bystander Use of an Automated External Defibrillator: A Case of Nonconvulsive Seizure.
Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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2 authors.
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Abstract
Background: Sudden unexpected death in epilepsy (SUDEP) is the leading cause of mortality in people with epilepsy; however, it remains under-recognized by the general public and healthcare providers. Case Presentation: A 42-year-old man was transported to the emergency department in a coma after resuscitation with an automated external defibrillator by a caregiver. He had intellectual disability and uncontrolled seizures despite receiving multiple antiseizure medications for > 20 years. Electrocardiography showed no ST change or prolonged QTc interval. Emergency coronary angiography revealed no significant stenosis. The patient returned to the previous state after targeted temperature management at 34°C. Most SUDEP cases present generalized tonic-clonic seizures (GTCS), leading to respiratory arrest and asystole. Although ventricular fibrillation following a nonconvulsive seizure is exceptional, this patient had no cardiac factors and was consistent with SUDEP. Conclusion: All healthcare providers caring for people with epilepsy should be aware of SUDEP to help prevent epilepsy-related deaths.
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