2022
Proteomic differences in hippocampus and cortex of sudden unexplained death in childhood
Leitner DF, William C, Faustin A, Askenazi M, Kanshin E, Snuderl M, McGuone D, Wisniewski T, Ueberheide B, Gould L, Devinsky O. Proteomic differences in hippocampus and cortex of sudden unexplained death in childhood. Acta Neuropathologica 2022, 143: 585-599. PMID: 35333953, PMCID: PMC8953962, DOI: 10.1007/s00401-022-02414-7.Peer-Reviewed Original ResearchConceptsSudden unexplained deathDentate gyrusFrontal cortexClinical historyCA1-3Unexplained deathBrain regionsSudden unexpected deathHippocampal dentate gyrusFebrile seizure historyAcute phase responseCause of deathYears of ageMechanism of deathCircumstances of deathSUDC casesMolecular signaling pathwaysClinical featuresSeizure historyPathological featuresMultiple etiologiesCornu ammonisUnexpected deathPreventive strategiesAncillary testing
2021
Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link
Bonilla-Jaime H, Zeleke H, Rojas A, Espinosa-Garcia C. Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link. International Journal Of Molecular Sciences 2021, 22: 12531. PMID: 34830412, PMCID: PMC8617844, DOI: 10.3390/ijms222212531.Peer-Reviewed Original ResearchConceptsObstructive sleep apneaSleep deprivationAnti-epileptic drugsEpilepsy-related mortalitySudden unexpected deathPotential mechanistic linkSleep apneaImprove quality of lifeWorsen neurodegenerationDaytime sleepinessDisease progressionSeizure frequencySeizure activityNocturnal seizuresSide effectsQuality of lifeUnexpected deathEpileptic brainSeizuresEpilepsy patientsPoor sleep qualityEpilepsyNeuroinflammationSleep disturbanceMechanistic linkIncidence and associated factors of sudden unexpected death in advanced cancer patients: A multicenter prospective cohort study
Ito S, Morita T, Uneno Y, Taniyama T, Matsuda Y, Kohara H, Maeda I, Nakayama T, Mori M, Investigators T. Incidence and associated factors of sudden unexpected death in advanced cancer patients: A multicenter prospective cohort study. Cancer Medicine 2021, 10: 4939-4947. PMID: 34114364, PMCID: PMC8290229, DOI: 10.1002/cam4.4030.Peer-Reviewed Original ResearchConceptsInpatient hospices/palliative care unitsAdvanced cancer patientsProspective cohort studyCohort studyPalliative care physiciansCare unitCancer patientsFunctional status assessmentSudden unexpected deathOccurrence of sudden unexpected deathMulticenter prospective cohort studyFamily caregiversHospice/palliative careCare physiciansUnexpected deathMedical staffFunctional declineMale sexKarnofsky PSStatus assessmentPhysiciansSudden deathDeathIncidencePatientsSudden Unexpected Death as a Traumatic Stressor: The Impact of the DSM–5 Revision of Criterion A for Posttraumatic Stress Disorder
Domino J, Whiteman S, Davis M, Witte T, Weathers F. Sudden Unexpected Death as a Traumatic Stressor: The Impact of the DSM–5 Revision of Criterion A for Posttraumatic Stress Disorder. Traumatology An International Journal 2021, 27: 168-176. DOI: 10.1037/trm0000272.Peer-Reviewed Original ResearchDSM-5 definitionPosttraumatic stress disorderUnexpected deathCriterion AStress disorderPTSD symptomsIndirect exposureSevere motor vehicle accidentSudden unexpected deathMotor vehicle accidentsDSM-IV criteriaIndividual PTSD symptomsDSM-5 criteriaDSM-IV definitionOrdinal logistic regressionTrauma groupPTSD symptom clustersDSM-5 criterion ASymptom profilesVehicle accidentsMental disordersSymptom clustersDSM-IVLogistic regressionTrauma-exposed college studentsAnti-seizure medications and efficacy against focal to bilateral tonic-clonic seizures: A systematic review with relevance for SUDEP prevention
Cutillo G, Tolba H, Hirsch LJ. Anti-seizure medications and efficacy against focal to bilateral tonic-clonic seizures: A systematic review with relevance for SUDEP prevention. Epilepsy & Behavior 2021, 117: 107815. PMID: 33640562, DOI: 10.1016/j.yebeh.2021.107815.Peer-Reviewed Original ResearchConceptsAnti-seizure medicationsBilateral tonic-clonic seizuresTonic-clonic seizuresSUDEP preventionSystematic reviewPlacebo-controlled clinical trialFocal impaired awareness seizuresRisk of SUDEPSudden unexpected deathMajor risk factorAwareness seizuresRisk factorsClinical trialsUnexpected deathFBTCSHigh dosesSeizuresStrong associationSUDEPPreventionMedicationsTiagabineEfficacyLamotrigineBrivaracetamSeizure‐related deaths in children: The expanding spectrum
Harowitz J, Crandall L, McGuone D, Devinsky O. Seizure‐related deaths in children: The expanding spectrum. Epilepsia 2021, 62: 570-582. PMID: 33586153, PMCID: PMC7986159, DOI: 10.1111/epi.16833.Peer-Reviewed Original ResearchConceptsSeizure-related deathSudden unexpected infant deathSudden unexplained deathUnexpected infant deathEpileptic factorsMale predominanceNonfebrile seizuresHippocampal abnormalitiesFetal lossProne positionUnexplained deathUnexpected deathFamily historyNeuronal excitabilityInfant deathUnwitnessed deathsEpidemiological studiesEpilepsy shareEpilepsy diagnosisDeathGenetic featuresSeizuresChildrenPotential causesFebrile
2018
U.S. Medical Examiner/Coroner capability to handle highly infectious decedents
Le AB, Brooks EG, McNulty LA, Gill JR, Herstein JJ, Rios J, Patlovich SJ, Jelden KC, Schmid KK, Lowe JJ, Gibbs SG. U.S. Medical Examiner/Coroner capability to handle highly infectious decedents. Forensic Science, Medicine And Pathology 2018, 15: 31-40. PMID: 30402743, PMCID: PMC7090777, DOI: 10.1007/s12024-018-0043-2.Peer-Reviewed Original ResearchConceptsME/COverall response rateElectronic surveyMedical examinersEvidence-based informationPersonal protective equipmentME/CsPersonal protective equipment selectionHalf of respondentsUnexpected deathResponse rateInfectious diseasesProtective equipmentStandardized educationDistrict of ColumbiaDecedentsDeathStandard operating proceduresDeceased personsExaminersHazard approachInfectionDiseaseSudden unexpected death in epilepsy in patients treated with brain‐responsive neurostimulation
Devinsky O, Friedman D, Duckrow RB, Fountain NB, Gwinn RP, Leiphart JW, Murro AM, Van Ness PC. Sudden unexpected death in epilepsy in patients treated with brain‐responsive neurostimulation. Epilepsia 2018, 59: 555-561. PMID: 29336029, DOI: 10.1111/epi.13998.Peer-Reviewed Original ResearchConceptsSudden unexpected deathDefinite SUDEPEpileptiform activityUnexpected deathBrain-responsive neurostimulationFrequent epileptiform activityDrug Administration approvalRNS SystemTime of deathSUDEP ratesWitnessed seizurePlacebo armResective surgerySUDEP riskClinical featuresImplant yearAdministration approvalClinical trialsEpilepsy patientsSUDEPPatientsSeizuresDrug studiesU.S. FoodDeath
2017
Neuropathologic Examination in Sudden Unexpected Deaths in Infancy and Childhood: Recommendations for Highest Diagnostic Yield and Cost-Effectiveness in Forensic Settings
Folkerth RD, Nunez J, Georgievskaya Z, McGuone D. Neuropathologic Examination in Sudden Unexpected Deaths in Infancy and Childhood: Recommendations for Highest Diagnostic Yield and Cost-Effectiveness in Forensic Settings. Academic Forensic Pathology 2017, 7: 182-199. PMID: 31239973, DOI: 10.23907/2017.020.Peer-Reviewed Original ResearchManner of deathCraniospinal traumaDural venous sinus thrombosisHypoxic-ischemic lesionsVenous sinus thrombosisSudden unexpected deathEvidence-based guidelinesHigh diagnostic yieldDandy-Walker malformationSix-month intervalsBrainstem gliosisBrainstem necrosisPeripartum asphyxiaSystemic sepsisSinus thrombosisNeuropathologic examinationFebrile seizuresNeuropathological findingsCerebral cortexComplete autopsyUnexpected deathDiagnostic yieldBilateral hippocampusHippocampal dysgenesisNormal brainA Murine Model to Study Epilepsy and SUDEP Induced by Malaria Infection
Ssentongo P, Robuccio A, Thuku G, Sim D, Nabi A, Bahari F, Shanmugasundaram B, Billard M, Geronimo A, Short K, Drew P, Baccon J, Weinstein S, Gilliam F, Stoute J, Chinchilli V, Read A, Gluckman B, Schiff S. A Murine Model to Study Epilepsy and SUDEP Induced by Malaria Infection. Scientific Reports 2017, 7: 43652. PMID: 28272506, PMCID: PMC5341121, DOI: 10.1038/srep43652.Peer-Reviewed Original ResearchConceptsCerebral malariaAnimal modelsStrain combinationsPrevention of epilepsySuch animal modelsSubsequent epilepsyNeurological sequelaeAdjunctive therapyPathophysiological mechanismsMalaria infectionUnexpected deathMurine modelEpilepsyPreclinical researchSUDEPMalariaGenetic backgroundMultiple miceEpileptogenesisSequelaeTherapyInfectionMiceSurvivorsPrevention
2012
Sudden unexpected death in epilepsy in lamotrigine randomized‐controlled trials
Tomson T, Hirsch LJ, Friedman D, Bester N, Hammer A, Irizarry M, Ishihara L, Krishen A, Spaulding T, Wamil A, Leadbetter R. Sudden unexpected death in epilepsy in lamotrigine randomized‐controlled trials. Epilepsia 2012, 54: 135-140. PMID: 23030403, DOI: 10.1111/j.1528-1167.2012.03689.x.Peer-Reviewed Original ResearchConceptsSudden unexpected deathProbable SUDEPTreatment armsAntiepileptic drugsClinical trialsOdds ratioUnexpected deathTonic-clonic seizure frequencyRate of SUDEPRisk of SUDEPRandomized clinical trialsRandomized-controlled trialPotential risk factorsCause deathPossible SUDEPStudy medicationPatient yearsSeizure frequencyTreatment deathsComparator armActive comparatorNonrandomized studyUnadjusted ratesComparator groupRisk factorsPsychiatric Comorbidity of Full and Partial Posttraumatic Stress Disorder Among Older Adults in the United States: Results From Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions
Pietrzak RH, Goldstein RB, Southwick SM, Grant BF. Psychiatric Comorbidity of Full and Partial Posttraumatic Stress Disorder Among Older Adults in the United States: Results From Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. American Journal Of Geriatric Psychiatry 2012, 20: 380-390. PMID: 22522959, PMCID: PMC3334850, DOI: 10.1097/jgp.0b013e31820d92e7.Peer-Reviewed Original ResearchConceptsPartial posttraumatic stress disorderPosttraumatic stress disorderPsychosocial functioningOlder adultsStress disorderPersonality disorderPsychiatric comorbidityLifetime moodConsiderable psychiatric comorbidityPoor psychosocial functioningNational Epidemiologic SurveySchizotypal personality disorderAdults age 60 yearsSignificant psychiatric comorbidityNarcissistic personality disorderStressful experiencesStressful eventsAnxiety disordersPsychosocial dysfunctionU.S. older adultsBad eventsSubstance useIndirect experienceMoodUnexpected death
2011
Circumstances and Outcomes of Sudden Unexpected Death in Patients With High-Risk Myocardial Infarction
Ye S, Grunnert M, Thune JJ, Stephenson KM, Uno H, Finn PV, McMurray JJ, Velazquez EJ, Califf R, Pfeffer MA, Solomon SD. Circumstances and Outcomes of Sudden Unexpected Death in Patients With High-Risk Myocardial Infarction. Circulation 2011, 123: 2674-2680. PMID: 21606398, DOI: 10.1161/circulationaha.110.990655.Peer-Reviewed Original ResearchConceptsHigh-risk myocardial infarctionSudden deathMyocardial infarctionHospital eventsVentricular tachycardia/ventricular fibrillationPrevention of SDSD eventsLong-term mortalityMajority of patientsSudden unexpected deathInitial ECG rhythmCatastrophic complicationUnwitnessed arrestsUnexpected deathVentricular fibrillationTrial trialsPatientsInfarctionECG rhythmDeathPreventionHigher proportionHome eventsArrestSource documentationResponse to Letter Regarding Article, “Pathogenesis of Sudden Unexpected Death in a Clinical Trial of Patients With Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both”
Pouleur A, Barkoudah E, Uno H, Skali H, Finn P, Zelenkofske S, Belenkov Y, Mareev V, Velazquez E, Rouleau J, Maggioni A, Køber L, Califf R, McMurray J, Pfeffer M, Solomon S. Response to Letter Regarding Article, “Pathogenesis of Sudden Unexpected Death in a Clinical Trial of Patients With Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both”. Circulation 2011, 123: e586-e587. DOI: 10.1161/circulationaha.111.021600.Commentaries, Editorials and LettersAbbreviated report of the NIH/NINDS workshop on sudden unexpected death in epilepsy(e–Pub ahead of print)
Hirsch LJ, Donner EJ, So EL, Jacobs M, Nashef L, Noebels JL, Buchhalter JR. Abbreviated report of the NIH/NINDS workshop on sudden unexpected death in epilepsy(e–Pub ahead of print). Neurology 2011, 76: 1932-1938. PMID: 21543734, PMCID: PMC3115809, DOI: 10.1212/wnl.0b013e31821de7de.Peer-Reviewed Original ResearchConceptsSudden infant death syndromeSudden unexpected deathSudden cardiac deathCardiac deathUnexpected deathAwareness of SUDEPPrevention of SUDEPRisk of SUDEPImproved seizure controlInfant death syndromeUnderstanding of SUDEPHealth care practitionersBasic science researchSUDEP incidenceDevastating complicationSeizure controlMulticenter collaborative researchSUDEPDeath syndromeAnimal modelsCare practitionersNeurological disordersEpilepsyPhysiologic featuresGenetic factors
2010
Pathogenesis of Sudden Unexpected Death in a Clinical Trial of Patients With Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both
Pouleur AC, Barkoudah E, Uno H, Skali H, Finn PV, Zelenkofske SL, Belenkov YN, Mareev V, Velazquez EJ, Rouleau JL, Maggioni AP, Køber L, Califf RM, McMurray JJ, Pfeffer MA, Solomon SD. Pathogenesis of Sudden Unexpected Death in a Clinical Trial of Patients With Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both. Circulation 2010, 122: 597-602. PMID: 20660803, DOI: 10.1161/circulationaha.110.940619.Peer-Reviewed Original ResearchConceptsSudden unexpected deathRecurrent MISudden deathArrhythmic deathAutopsy recordsUnexpected deathAcute Myocardial Infarction trialImplantable cardioverter-defibrillator therapyEarly post-myocardial infarction periodPost-myocardial infarction periodMyocardial Infarction trialCardioverter-defibrillator therapySudden death eventsIndex MILack of benefitSeries of casesCardiovascular causesNoncardiovascular causesVentricular dysfunctionAcute MICardiac ruptureHeart failureAutopsy evidenceClinical groundsAutopsy findings
2009
Natural, Unexpected Deaths: Reliability of a Presumptive Diagnosis*
Gill J, Scordi‐Bello I. Natural, Unexpected Deaths: Reliability of a Presumptive Diagnosis*. Journal Of Forensic Sciences 2009, 55: 77-81. PMID: 20002277, DOI: 10.1111/j.1556-4029.2009.01227.x.Peer-Reviewed Original Research
2005
Sudden Death in Patients with Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both
Solomon SD, Zelenkofske S, McMurray JJ, Finn PV, Velazquez E, Ertl G, Harsanyi A, Rouleau JL, Maggioni A, Kober L, White H, Van de Werf F, Pieper K, Califf RM, Pfeffer MA. Sudden Death in Patients with Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both. New England Journal Of Medicine 2005, 352: 2581-2588. PMID: 15972864, DOI: 10.1056/nejmoa043938.Peer-Reviewed Original ResearchConceptsLeft ventricular ejection fractionVentricular ejection fractionLeft ventricular dysfunctionMyocardial infarctionCardiac arrestSudden deathVentricular dysfunctionEjection fractionHeart failureLeft ventricular systolic functionHigh-risk patientsVentricular systolic functionSudden unexpected deathAcute myocardial infarctionCardiac causesHospital dischargeSystolic functionPercent confidence intervalsUnexpected deathHigh riskInfarctionPatientsResuscitationDysfunctionDeath
2002
Heart rate and EKG changes in 102 seizures: analysis of influencing factors
Opherk C, Coromilas J, Hirsch LJ. Heart rate and EKG changes in 102 seizures: analysis of influencing factors. Epilepsy Research 2002, 52: 117-127. PMID: 12458028, DOI: 10.1016/s0920-1211(02)00215-2.Peer-Reviewed Original ResearchConceptsEKG abnormalitiesIctal heart rateHeart rateGeneralized seizuresEKG changesT-wave inversionMajority of seizuresHippocampal sclerosisSeizure durationST depressionSinus tachycardiaRisk factorsUnexpected deathHigh riskCardiac arrhythmiasEpileptic seizuresSeizuresAbnormalitiesPatientsMajor causeLeft hemisphereEpilepsyEEG recordingsResponsible factorsSUDEP
1991
Sudden death and paroxysmal autonomic dysfunction in stiff-man syndrome
Mitsumoto H, Schwartzman M, Estes M, Chou S, La Franchise E, De Camilli P, Solimena M. Sudden death and paroxysmal autonomic dysfunction in stiff-man syndrome. Journal Of Neurology 1991, 238: 91-96. PMID: 1649913, DOI: 10.1007/bf00315688.Peer-Reviewed Original ResearchConceptsStiff-man syndromeGABA-ergic neuronsAutonomic dysfunctionBrain stemSpinal cordCause of deathChronic inflammatory reactionPerivascular gliosisArterial hypertensionPerivascular infiltrationMuscle spasmNeuropathological studiesAutoimmune diseasesBasal gangliaFunctional impairmentUnexpected deathInflammatory reactionLymphocytic perivascular infiltrationSudden deathMuscular abnormalitiesCerebrospinal fluidPupillary dilationFrequent attacksDysfunctionNeurons
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