title: Fish consumption, contaminants and sudden unexpected death in epilepsy: many more benefits than risks.
abstract: People with epilepsy have an increased risk of dying prematurely and the most common epilepsy-related category of death is sudden unexpected death in epilepsy (SUDEP). SUDEP is mainly a problem for patients with chronic uncontrolled epilepsy. The ultimate goal of research in SUDEP is to develop new methods to prevent it and actions other than medical and surgical therapies that could be very useful. Nutritional aspects, i.e., omega-3 fatty acids deficiency, could have an interesting role in this scenario. Some animal and clinical studies have suggested that omega-3 fatty acids could be useful in the prevention and treatment of epilepsy and hence SUDEP. It has been ascertained that the only foods that provide large amounts of omega-3 are seafood (fish and shellfish); however, some fish are contaminated with methylmercury, which may counteract the positive effects of omega-3 fatty acids. Our update review summarises the knowledge of the role of fish consumption on epilepsy research.
authors: Disciplina de Neurologia Experimental, Universidade Federal de São Paulo, Escola Paulista de Medicina, Rua Botucatu, 862 Edifício Leal Prado, CEP 04023-900, São Paulo, Brazil. scorza.nexp@epm.br
authors: F A
authors: FA
authors: Scorza
authors: R M
authors: RM
authors: Cysneiros
authors: R M
authors: RM
authors: Arida
authors: V C
authors: VC
authors: Terra
authors: H R
authors: HR
authors: Machado
authors: G M M
authors: GM
authors: Rabello
authors: M
authors: M
authors: Albuquerque
authors: E A
authors: EA
authors: Cavalheiro
mesh_terms: D003645:Death, Sudden / Q000209:etiology* / Q000517:prevention & control*; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control; D019587:Dietary Supplements; D004827:Epilepsy / Q000150:complications*; D015525:Fatty Acids, Omega-3 / Q000008:administration & dosage*; D005396:Fish Products / Q000032:analysis*; D006801:Humans; D008767:Methylmercury Compounds / Q000032:analysis
chemical_list: D015525:Fatty Acids, Omega-3; D008767:Methylmercury Compounds