Description

Sudden Unexplained/Unexpected Death in Epilepsy (SUDEP) occurs when a person with a history of epilepsy who is in apparent good health dies suddenly for no obvious cause. It is largely a diagnosis of exclusion.


 

Criteria for definite or highly probable: all of the following:

(1) death was unexpected

(2) fatal attack was sudden (but death might not occur for several hours)

(3) person has a history of epilepsy

(4) person was otherwise healthy

(5) no medical cause of death found

(6) death occurred during normal activities, in benign circumstances

 

Evidence for terminal seizure if unwitnessed: one or more of the following:

(1) body found half on and half off the bed

(2) urinary incontinence at the scene

(3) bitten lips or tongue

 

Possible SUDEP:

(1) most but not all of the criteria required for a definite diagnosis

(2) body found in water without evidence of drowning

(3) aspiration confirmed or suspected

 

Exclusion of SUDEP:

(1) status epilepticus identified

(2) acute trauma in the setting of a seizure

 


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