Is there something special about cardiovascular abnormalities and sudden unexpected death in epilepsy among patients with chronic renal insufficiency in regular hemodialysis program?

Abstract:

:Of the many risk factors suggested for sudden unexpected death in epilepsy (SUDEP), higher frequency of seizures is a very consistent issue. Following this reasoning, it has been established that hemodialysis-associated seizure is a complication of dialysis procedure. Based on these facts, this study investigated a possible association between cardiovascular abnormalities and SUDEP among patients with chronic renal insufficiency in regular hemodialysis program. For that, a retrospective medical history of 209 patients was reviewed to investigate the occurrence of convulsive seizures and EKG abnormalities during dialytic program. Three patients presented generalized tonic-clonic seizures, one had partial seizure with secondary generalization, and one presented unclassified seizure. Any EKG abnormalities and SUDEP event were found in all patients evaluated. In conclusion, the present findings demonstrated uncommon the occurrence of seizures and also SUDEP. Probably, the main justification to not allow us to demonstrated a direct relation between SUDEP and cardiovascular diseases in hemodialysis are the reduced number of cases examined.

journal_name

Arq Neuropsiquiatr

authors

Gomes RA,Kesrouani S,Cruz J,Silva AL,Henriques TM,Albuquerque Md,Arida RM,Sonoda EY,Cysneiros RM,Terra VC,Scorza CA,Cavalheiro EA,Scorza FA

doi

10.1590/s0004-282x2009000200007

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

209-13

issue

2A

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2009000200007

journal_volume

67

pub_type

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