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Early treatment does not seem to affect the risk of mortality in epilepsy but the presence of comorbidity may
  1. Josemir W Sander
  1. Correspondence to Ley Sander, Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK; lsander{at}

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Epilepsy is often seen as a benign condition, but in reality nothing could be further from the truth. It has a high morbidity and carries an increased risk of premature mortality, consistently seen in many studies.1 Increased mortality in epilepsy is an important part of its burden; some aspects of it are, however, baffling, as the reasons for it are not entirely clear. When death occurs in people with recent onset of epilepsy, it is often due to the same condition which caused the epilepsy. In people with chronic epilepsy, sudden unexpected death in epilepsy is a common cause, at least in …

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  • Funding UCL.

  • Competing interests None.

  • Provenance and peer review Commissioned; not externally peer reviewed.

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