000 01486cam a2200229 4500500
005 20250121162523.0
041 _afre
042 _adc
100 1 0 _aSethwala, Anver
_eauthor
700 1 0 _a Sparks, Paul
_eauthor
700 1 0 _a Perucca, Piero
_eauthor
245 0 0 _aWhen the first seizure can be the last: ventricular fibrillation following a new-onset seizure
260 _c2020.
500 _a62
520 _aSudden 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.
690 _anear SUDEP
690 _aSUDEP
690 _aepilepsy
690 _aarrhythmia
786 0 _nEpileptic Disorders | Vol 22 | 5 | 2020-05-01 | p. 669-672 | 1294-9361
856 4 1 _uhttps://shs.cairn.info/revue-epileptic-disorders-2020-5-page-669?lang=en&redirect-ssocas=7080
999 _c611425
_d611425