Stevenson Mark J, Stanton Thomas F
Board of Directors, Epilepsy Foundation of Colorado, Parker, Colorado, U.S.A.
Epilepsia. 2014 Oct;55(10):1495-500. doi: 10.1111/epi.12795. Epub 2014 Oct 16.
There is much debate in the epilepsy community about whether neurologists should discuss the risk of sudden unexpected death in epilepsy (SUDEP) with their patients and family members. Those in favor purport that patients have a right to know about SUDEP. Opponents say the risk is so low that discussions only worry patients and families, especially if there is nothing that can be done to prevent SUDEP. North American surveys show that the epilepsy community knows little about SUDEP and neurologists are unlikely to talk about it. However, surveys of those bereaved by SUDEP show that an overwhelming majority of the parents, spouses, and family members want to be told about SUDEP immediately after the diagnosis of epilepsy. This article is written by two families bereaved by SUDEP and their strong belief that neurologists should have the discussion about the risk of SUDEP soon after the diagnosis of epilepsy.
在癫痫学界,关于神经科医生是否应与患者及其家属讨论癫痫猝死(SUDEP)风险存在诸多争议。支持者认为患者有权了解SUDEP。反对者则称该风险极低,讨论只会让患者及其家属担忧,尤其是在没有任何措施可预防SUDEP的情况下。北美调查显示,癫痫学界对SUDEP了解甚少,神经科医生也不太可能谈及此事。然而,对因SUDEP而痛失亲人者的调查表明,绝大多数父母、配偶和家庭成员希望在癫痫确诊后立即被告知SUDEP情况。本文由两个因SUDEP而痛失亲人的家庭撰写,他们坚信神经科医生应在癫痫确诊后不久就讨论SUDEP风险。