Muerte súbita en epilepsia

The risk of sudden unexpected death in patients with epilepsy (SUDEP), is 20 to 25 times greater than in the general population. This increased risk is seen specially in refractory epilepsy, with an incidence of 9:1,000 patients-years. Risk factors have been established based on retrospective studie...

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Autores principales: Velásquez,Mauricio, Marinis,Alejandro De, Benavides,Evelyn
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2018
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000800902
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spelling oai:scielo:S0034-988720180008009022018-10-18Muerte súbita en epilepsiaVelásquez,MauricioMarinis,Alejandro DeBenavides,Evelyn Death, sudden Epilepsy Seizures The risk of sudden unexpected death in patients with epilepsy (SUDEP), is 20 to 25 times greater than in the general population. This increased risk is seen specially in refractory epilepsy, with an incidence of 9:1,000 patients-years. Risk factors have been established based on retrospective studies, finding that the frequency of seizures, specially generalized tonic clonic seizures, is the most important one. The physiopathological mechanism of SUDEP is not yet fully understood. Autonomic system abnormalities, as well as cardiac and respiratory changes have been found. The finding of new molecular biomarkers to identify patients with increased risk should be a priority. Treatment is based in the management of risk factors, although clear recommendations are hard to establish given the low level of evidence.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.8 20182018-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000800902es10.4067/s0034-98872018000800902
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Death, sudden
Epilepsy
Seizures
spellingShingle Death, sudden
Epilepsy
Seizures
Velásquez,Mauricio
Marinis,Alejandro De
Benavides,Evelyn
Muerte súbita en epilepsia
description The risk of sudden unexpected death in patients with epilepsy (SUDEP), is 20 to 25 times greater than in the general population. This increased risk is seen specially in refractory epilepsy, with an incidence of 9:1,000 patients-years. Risk factors have been established based on retrospective studies, finding that the frequency of seizures, specially generalized tonic clonic seizures, is the most important one. The physiopathological mechanism of SUDEP is not yet fully understood. Autonomic system abnormalities, as well as cardiac and respiratory changes have been found. The finding of new molecular biomarkers to identify patients with increased risk should be a priority. Treatment is based in the management of risk factors, although clear recommendations are hard to establish given the low level of evidence.
author Velásquez,Mauricio
Marinis,Alejandro De
Benavides,Evelyn
author_facet Velásquez,Mauricio
Marinis,Alejandro De
Benavides,Evelyn
author_sort Velásquez,Mauricio
title Muerte súbita en epilepsia
title_short Muerte súbita en epilepsia
title_full Muerte súbita en epilepsia
title_fullStr Muerte súbita en epilepsia
title_full_unstemmed Muerte súbita en epilepsia
title_sort muerte súbita en epilepsia
publisher Sociedad Médica de Santiago
publishDate 2018
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000800902
work_keys_str_mv AT velasquezmauricio muertesubitaenepilepsia
AT marinisalejandrode muertesubitaenepilepsia
AT benavidesevelyn muertesubitaenepilepsia
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