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

被引：0
作者：
Hatano, Satoki [1 ]
Kanzaki, Go [1 ,2 ]
Marumoto, Hirokazu [2 ]
Niikura, Takahito [1 ,2 ]
Honda, Kosuke [1 ,2 ]
Nakada, Yasuyuki [1 ,2 ]
Morita, Masayo [1 ]
Hasegawa, Takashi [1 ]
Yokoo, Takashi [2 ]
机构：
[1] Atsugi City Hosp, Dept Internal Med, Atsugi, Kanagawa, Japan
[2] Jikei Univ, Sch Med, Dept Internal Med, Div Nephrol & Hypertens,Minato Ku, Tokyo 1058461, Japan
来源：
CEN CASE REPORTS | 2021年 / 10卷 / 04期
关键词：
Sudden unexpected death in epilepsy (SUDEP); Hemodialysis (HD); Seizure; Cardiopulmonary arrest (CPA); CARDIAC DEATH; SEIZURES; ABNORMALITIES; MECHANISMS; RATES; RISK;
D O I：
10.1007/s13730-021-00611-z
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：582 / 587
页数：6
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