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2015 ; 28
(2
): 166-74
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Mechanisms of sudden unexplained death in epilepsy
#MMPMID25734955
Goldman AM
Curr Opin Neurol
2015[Apr]; 28
(2
): 166-74
PMID25734955
show ga
PURPOSE OF REVIEW: Human and experimental research has identified cardioautonomic
and respiratory dysfunction as a frequent accompaniment in human and animal model
events of sudden unexpected death in epilepsy (SUDEP). This review aims to
provide an overview of the scientific evidence behind the currently accepted risk
factors and working hypotheses regarding SUDEP pathophysiology. RECENT FINDINGS:
Epidemiological analysis of public health burden of SUDEP has shown that it rates
second only to stroke in the years of potential life lost. Clinical and
experimental studies uncovered the dynamic cardiorespiratory dysfunction
interictally and imminently to SUDEP, and model systems have facilitated
discoveries in SUDEP mechanistic understanding and application of pilot
therapeutic interventions. Pilot molecular profiling of human SUDEP has uncovered
complex genomic structure in the candidate gene network. SUMMARY: Extensive
clinical and experimental work has established a rationale for the conceptual
thinking about SUDEP mechanisms. The application of the global molecular
profiling will be invaluable in unraveling the individually unique genomic
complexities and interactions that underlie the physiological signature of each
patient. At the same time, sophisticated model systems will be critical in the
iterative translation of human genetics, physiology, pharmacological
interventions, and in testing preventive interventions.
|*Genetic Predisposition to Disease
[MESH]
|Animals
[MESH]
|Death, Sudden/*etiology/prevention & control
[MESH]