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解释无法解释的现象;期待意料之外的情况:我们对癫痫性猝死的了解到了哪一步?

Explaining the unexplained; expecting the unexpected: where are we with sudden unexpected death in epilepsy?

机构信息

Pediatric Neurologist, The Hospital for Sick Children, Assistant Professor, Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON.

出版信息

Epilepsy Curr. 2011 Mar;11(2):45-9. doi: 10.5698/1535-7511-11.2.45.

DOI:10.5698/1535-7511-11.2.45
PMID:21686306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3117501/
Abstract

Sudden death is over 20 times more frequent in people with epilepsy than the general population. The literature on clinical risk factors is now able to define individuals at the highest risk. Despite these advances in our understanding of risk, the mechanism of sudden unexpected death in epilepsy remains elusive. While it is unlikely that a single mechanism will be found to explain all deaths, there have been recent advances that identify factors that play a critical role. This review provides an update on new advances in the understanding of sudden unexpected death in epilepsy.

摘要

癫痫患者的猝死率比普通人群高出 20 多倍。目前,有关临床危险因素的文献能够确定风险最高的个体。尽管我们对风险的认识有了这些进展,但癫痫猝死的机制仍然难以捉摸。虽然不太可能找到一个单一的机制来解释所有的死亡,但最近有一些进展确定了发挥关键作用的因素。这篇综述提供了对癫痫猝死理解的新进展的最新更新。

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Epilepsy Curr. 2011 Mar;11(2):45-9. doi: 10.5698/1535-7511-11.2.45.
2
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本文引用的文献

1
Combined analysis of risk factors for SUDEP.SUDEP 危险因素的综合分析。
Epilepsia. 2011 Jun;52(6):1150-9. doi: 10.1111/j.1528-1167.2010.02952.x. Epub 2011 Jan 28.
2
Abbreviated report of the NIH/NINDS workshop on sudden unexpected death in epilepsy.NIH/NINDS 癫痫猝死研讨会简要报告。
Neurology. 2011 May 31;76(22):1932-8. doi: 10.1212/WNL.0b013e31821de7de. Epub 2011 May 4.
3
The serotonin axis: Shared mechanisms in seizures, depression, and SUDEP.血清素轴:癫痫发作、抑郁和 SUDEP 中的共同机制。
Epilepsia. 2011 Jan;52 Suppl 1(Suppl 1):28-38. doi: 10.1111/j.1528-1167.2010.02908.x.
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Long-term mortality in childhood-onset epilepsy.儿童期起病癫痫的长期死亡率。
N Engl J Med. 2010 Dec 23;363(26):2522-9. doi: 10.1056/NEJMoa0911610.
5
Mortality risk in adults with newly diagnosed and chronic epilepsy: a population-based study.成年人新发和慢性癫痫的死亡风险:一项基于人群的研究。
Eur J Neurol. 2011 Mar;18(3):465-70. doi: 10.1111/j.1468-1331.2010.03195.x. Epub 2010 Aug 18.
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Serotonin reuptake inhibitors are associated with reduced severity of ictal hypoxemia in medically refractory partial epilepsy.5-羟色胺再摄取抑制剂与药物难治性部分性癫痫发作期低氧血症严重程度降低相关。
Epilepsia. 2010 Oct;51(10):2211-4. doi: 10.1111/j.1528-1167.2010.02594.x.
7
Kv1.1 potassium channel deficiency reveals brain-driven cardiac dysfunction as a candidate mechanism for sudden unexplained death in epilepsy.Kv1.1 钾通道缺陷揭示了脑驱动的心脏功能障碍作为癫痫性不明原因猝死的候选机制。
J Neurosci. 2010 Apr 14;30(15):5167-75. doi: 10.1523/JNEUROSCI.5591-09.2010.
8
Arrhythmia in heart and brain: KCNQ1 mutations link epilepsy and sudden unexplained death.心脏和大脑中的心律失常:KCNQ1 突变将癫痫与突发性不明原因死亡联系起来。
Sci Transl Med. 2009 Oct 14;1(2):2ra6. doi: 10.1126/scitranslmed.3000289.
9
DBA/1 mice exhibit chronic susceptibility to audiogenic seizures followed by sudden death associated with respiratory arrest.DBA/1 小鼠表现出对听觉性癫痫发作的慢性易感性,随后突然死亡与呼吸停止有关。
Epilepsy Behav. 2010 Apr;17(4):436-40. doi: 10.1016/j.yebeh.2010.02.007. Epub 2010 Mar 23.
10
Recent progress in congenital long QT syndrome.先天性长 QT 综合征的最新进展。
Curr Opin Cardiol. 2010 May;25(3):216-21. doi: 10.1097/HCO.0b013e32833846b3.