Disciplina de Neurologia Experimental, Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, Brazil.
Med Hypotheses. 2010 Jan;74(1):158-61. doi: 10.1016/j.mehy.2009.07.009. Epub 2009 Aug 8.
Epilepsy is the most common serious neurological condition and sudden unexpected death in epilepsy (SUDEP) is the most important direct epilepsy-related cause of death. Information concerning risk factors for SUDEP is conflicting, but high seizure frequency is a potential risk factor. Additionally, potential pathomechanisms for SUDEP are unknown, but it is very probable that cardiac arrhythmias during and between seizures or transmission of epileptic activity to the heart via the autonomic nervous system potentially play a role. In parallel, studies have shown a link between vitamin D dysfunction and epilepsy. Moreover, several evidences in the literature suggest an association between low vitamin D and seizures, indicating the possibility of anticonvulsant properties of this hormone. Quite interesting, a growing body of data suggests that low vitamin D levels may adversely affect cardiovascular health, directly associated with death from heart failure and sudden cardiac death. In view of the above findings, our research group focused in this review article that SUDEP, at least in some cases, could be related with low vitamin D levels.
癫痫是最常见的严重神经系统疾病,癫痫猝死(SUDEP)是最重要的直接与癫痫相关的死亡原因。关于 SUDEP 的危险因素的信息存在争议,但高发作频率是一个潜在的危险因素。此外,SUDEP 的潜在发病机制尚不清楚,但在发作期间和发作之间发生心律失常或通过自主神经系统将癫痫活动传递到心脏很可能发挥作用。与此同时,研究表明维生素 D 功能障碍与癫痫之间存在联系。此外,文献中的几项证据表明维生素 D 水平低与癫痫之间存在关联,表明这种激素具有抗惊厥特性。有趣的是,越来越多的数据表明,低维生素 D 水平可能会对心血管健康产生不利影响,这与心力衰竭和心源性猝死导致的死亡直接相关。鉴于上述发现,我们的研究小组在这篇综述文章中重点研究了 SUDEP,至少在某些情况下,可能与低维生素 D 水平有关。