TY - BOOK AU - Sethwala,Anver AU - Sparks,Paul AU - Perucca,Piero TI - When the first seizure can be the last: ventricular fibrillation following a new-onset seizure PY - 2020///. N1 - 62 N2 - Sudden unexpected death in epilepsy (SUDEP) is the leading cause of epilepsy-related mortality. Its mechanisms remain incompletely understood. Post-ictal arrhythmias rather than ictal arrhythmias appear to be associated with an increased risk of SUDEP. Only a handful of individuals with epilepsy who have survived ventricular arrhythmias post seizure (near-SUDEP) are reported in the literature. We report a case of ventricular fibrillation following a first-ever unprovoked seizure in a patient without epilepsy, in whom a sinus rhythm was restored following cardioversion. A defibrillator was subsequently implanted. Our case suggests that even first seizures might account for some of the many cases of unexplained ventricular fibrillation or sudden cardiac death UR - https://shs.cairn.info/revue-epileptic-disorders-2020-5-page-669?lang=en&redirect-ssocas=7080 ER -