Near-sudden unexpected death in a patient with epilepsy undergoing hemodialysis: a case report.

Published on May 26, 2021in CEN Case Reports
· DOI :10.1007/S13730-021-00611-Z
Satoki Hatano , Go Kanzaki12
Estimated H-index: 12
(Jikei University School of Medicine)
+ 6 AuthorsTakashi Yokoo28
Estimated H-index: 28
(Jikei University School of Medicine)
Sudden unexpected death in epilepsy (SUDEP) has been defined as a sudden/unexpected, witnessed/unwitnessed, nontraumatic, and nondrowning death in epileptic patients with/without seizure evidence and documented status epilepticus. Identified as the leading cause of epilepsy-related deaths, SUDEP cases are highly unrecognized and underreported due to diagnostic difficulty. We report a case of a successfully revived hemodialysis patient who developed cardiopulmonary arrest after a witnessed convulsive seizure. Electroencephalogram revealed epileptic abnormalities. Therefore, this case could be seizure-induced cardiopulmonary arrest and near-SUDEP. Hence, the possibility of SUDEP should be considered even in hemodialysis patients having conventional coronary risk factors for sudden cardiac death.
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