Evidence for seizure in 26 cases of SUDEP
1 | Bitten tongue, incontinent of urine, blood in corner of mouth |
---|---|
2 | Bitten tongue (several places) and lip, blood/mucus nares |
3 | Bitten tongue, disrupted environment, fallen off bed |
4 | Died am soon after waking; timing of habitual seizures |
5 | Died early am after waking; timing of habitual seizures |
6 | Found dead near video/TV screen - PGE, clinical and EEG photosensitivity;  previous GTCS only in similar circumstances |
8 | Fall off bed, incontinent of urine, bruised tip of tongue |
10 | Died am soon after waking after a late night out, JME, timing of habitual seizures |
11 | Incontinent of urine |
12 | Partial fall off bed |
13 | No good evidence; disrupted environment, fall off chair |
14 | Incontinent of urine, pink/bloodstained secretions on pillow |
17 | Contorted facial expression as in a seizure |
18 | Bitten tongue, computer game on, JME, known photosensitivity |
19 | Witnessed tonic clonic seizure |
22 | Partial fall off bed, facial expression as in a seizure |
23 | Bitten lip, secretions |
24 | Fall off bed, nocturnal attacks only |
25 | No evidence |
26 | No evidence |
28 | Bitten lip, incontinent of urine |
29 | Incontinent of urine |
30 | Bitten tongue, partial fall off bed, incontinent of urine |
31 | Tongue clenched between teeth |
32 | Secretions, tongue clenched between teeth |
33 | Witnessed tonic clonic seizure |
Cases 7, 9, 15, 16, 20, 21, 27 and 34 were excluded (see text).
PGE = primary generalised epilepsy; GTCS = generalised tonic clonic seizure.
JME = juvenile monoclonic epilepsy.