Acute medicine & surgery · 2026
Near-Sudden Unexpected Death in Epilepsy Rescued by Bystander Use of an Automated External Defibrillator: A Case of Nonconvulsive Seizure.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kobata Hitoshi, Oka Masayuki
Аннотация
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.
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.