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Mortality in Dravet syndrome

Lookup NU author(s): Dr Vankateswara Ramesh

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Abstract

© 2016 Elsevier B.V. We measured the mortality rate and the rate of Sudden Unexpected Death in Epilepsy (SUDEP) in Dravet Syndrome (DS). We studied a cohort of 100 consecutively recruited, unrelated patients with DS; 87 had SCN1A mutations. Living cases had a median follow-up of 17 years. Seventeen patients died, at a median age of seven years (inter-quartile range 3–11 years) with causes of death: 10 SUDEP, four status epilepticus, two drowning and one asphyxia. The SUDEP classification included three Definite, one Definite Plus and six Probable. The Dravet-specific mortality rate/1000-person-years was 15.84 (98% CI 9.01–27.85). The Dravet-specific SUDEP rate was 9.32/1000-person-years (98% CI 4.46–19.45). The Dravet-specific SUDEP rate is the only documented syndrome-specific SUDEP rate. SUDEP in DS occurs mainly in childhood. It is also the highest SUDEP rate, considerably higher than the recent 5.1 SUDEP rate/1000-person-years for adults with refractory epilepsy.

Publication metadata

Author(s): Cooper MS, Mcintosh A, Crompton DE, McMahon JM, Schneider A, Farrell K, Ganesan V, Gill D, Kivity S, Lerman-Sagie T, McLellan A, Pelekanos J, Ramesh V, Sadleir L, Wirrell E, Scheffer IE

Publication type: Article

Publication status: Published

Journal: Epilepsy Research

Year: 2016

Volume: 128

Pages: 43-47

Print publication date: 01/12/2016

Online publication date: 26/10/2016

Acceptance date: 24/10/2016

ISSN (print): 0920-1211

ISSN (electronic): 1872-6844

Publisher: Elsevier B.V.

URL: http://doi.org/10.1016/j.eplepsyres.2016.10.006

DOI: 10.1016/j.eplepsyres.2016.10.006

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