title: Sudden unexpected death in epilepsy: addressing the challenges.
abstract: Epilepsy is associated with a higher rate of premature death than the general population, and the commonest cause of epilepsy mortality is sudden unexpected death in epilepsy (SUDEP). It is difficult to quantify because of the variable reporting of this cause of death. Death occurs due to autonomic deregulation of cardio-respiratory pathways as a result of seizures. Measures to reduce cardio-respiratory dysfunction are discussed together with the importance of seizure control in preventing SUDEP. The role of seizure detection devices, antiepileptic drugs and the importance of providing information about SUDEP to people with epilepsy are highlighted. There is increasing interest in SUDEP and some current initiatives are discussed.
authors.affiliation: Department of General Practice, University College Cork Ireland, Western Gateway Building, Western Road, Cork, Ireland, henry.smithson@ucc.ie.
authors.forename: W Henry
authors.initials: WH
authors.lastname: Smithson
authors.forename: Brigitte
authors.initials: B
authors.lastname: Colwell
authors.forename: Jane
authors.initials: J
authors.lastname: Hanna
mesh_terms: D003645:Death, Sudden / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D004827:Epilepsy / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans