Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change?
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0004-282X2009000100037 http://repositorio.unifesp.br/handle/11600/4945 |
Resumo: | Sudden unexpected death in epilepsy (SUDEP) is the most important direct epilepsy-related cause of death in people with chronic epilepsy. Its physiopathology is still unknown; however, the most commonly suggested potential mechanisms involve cardiac or respiratory abnormalities. As the anatomical substrate of epileptic activity in the central nervous system (CNS) shows a direct relationship with cardiovascular alterations, this may suggests that patients with epilepsy associated with focal CNS lesions may be at particular risk of SUDEP. Currently, experimental and clinical data support an important role for thalamic nuclei in the behavioural manifestations, initiation and propagation of seizures. In view of the above findings, we purpose that SUDEP, at least in some cases, could be related to the occurrence of thalamic dysfunction or anatomic change. |
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Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change?A morte súbita cardíaca em epilepsia poderia estar relacionada com a ocorrência de alterações anatômicas ou funcionais do tálamo?epilepsycardiovascular abnormalitiesheartthalamussudden unexpected death in epilepsyepilepsiaalterações cardiovascularescoraçãotálamomorte súbita e inesperada nas epilepsiasSudden unexpected death in epilepsy (SUDEP) is the most important direct epilepsy-related cause of death in people with chronic epilepsy. Its physiopathology is still unknown; however, the most commonly suggested potential mechanisms involve cardiac or respiratory abnormalities. As the anatomical substrate of epileptic activity in the central nervous system (CNS) shows a direct relationship with cardiovascular alterations, this may suggests that patients with epilepsy associated with focal CNS lesions may be at particular risk of SUDEP. Currently, experimental and clinical data support an important role for thalamic nuclei in the behavioural manifestations, initiation and propagation of seizures. In view of the above findings, we purpose that SUDEP, at least in some cases, could be related to the occurrence of thalamic dysfunction or anatomic change.A morte súbita e inesperada nas epilepsias (SUDEP) é a mais importante causa de morte em pacientes com epilepsia. A fisiopatologia da SUDEP ainda é desconhecida, no entanto, os prováveis mecanismos estão relacionados com alterações cardiovasculares ou respiratórias. Como o substrato anatômico da atividade epiléptica no sistema nervoso central (SNC) apresenta direta relação com alterações cardiovasculares, esse fato sugere que pacientes com epilepsia e lesões focais no SNC podem apresentar maior risco para SUDEP. Atualmente, dados experimentais e clínicos demonstram um importante papel dos núcleos talâmicos nas manifestações comportamentais, bem como no início e propagação das crises epilépticas. Sendo assim, nós acreditamos que a SUDEP, pelo menos em alguns casos, poderia estar relacionada com a ocorrência de alterações anatômicas ou disfunções talâmicas.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Neurologia ExperimentalUNIFESP-EPM Departamento de FisiologiaUniversidade Federal de São João Del Rei Departamento de Engenharia BiomédicaUNIFESP, EPM, Disciplina de Neurologia ExperimentalUNIFESP, EPM Depto. de FisiologiaSciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Universidade Federal de São João Del Rei Departamento de Engenharia BiomédicaScorza, Fulvio Alexandre [UNIFESP]Calderazzo, Lineu [UNIFESP]Albuquerque, Marly de [UNIFESP]Arida, Ricardo Mario [UNIFESP]Almeida, Antonio-Carlos G. deCavalheiro, Esper Abrão [UNIFESP]2015-06-14T13:39:07Z2015-06-14T13:39:07Z2009-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion139-143application/pdfhttp://dx.doi.org/10.1590/S0004-282X2009000100037Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 67, n. 1, p. 139-143, 2009.10.1590/S0004-282X2009000100037S0004-282X2009000100037.pdf0004-282XS0004-282X2009000100037http://repositorio.unifesp.br/handle/11600/4945WOS:000264693900037engArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T17:52:09Zoai:repositorio.unifesp.br/:11600/4945Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T17:52:09Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? A morte súbita cardíaca em epilepsia poderia estar relacionada com a ocorrência de alterações anatômicas ou funcionais do tálamo? |
title |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? |
spellingShingle |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? Scorza, Fulvio Alexandre [UNIFESP] epilepsy cardiovascular abnormalities heart thalamus sudden unexpected death in epilepsy epilepsia alterações cardiovasculares coração tálamo morte súbita e inesperada nas epilepsias |
title_short |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? |
title_full |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? |
title_fullStr |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? |
title_full_unstemmed |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? |
title_sort |
Could sudden cardiac death in epilepsy be related to the occurrence of thalamic dysfunction or anatomic change? |
author |
Scorza, Fulvio Alexandre [UNIFESP] |
author_facet |
Scorza, Fulvio Alexandre [UNIFESP] Calderazzo, Lineu [UNIFESP] Albuquerque, Marly de [UNIFESP] Arida, Ricardo Mario [UNIFESP] Almeida, Antonio-Carlos G. de Cavalheiro, Esper Abrão [UNIFESP] |
author_role |
author |
author2 |
Calderazzo, Lineu [UNIFESP] Albuquerque, Marly de [UNIFESP] Arida, Ricardo Mario [UNIFESP] Almeida, Antonio-Carlos G. de Cavalheiro, Esper Abrão [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Universidade Federal de São João Del Rei Departamento de Engenharia Biomédica |
dc.contributor.author.fl_str_mv |
Scorza, Fulvio Alexandre [UNIFESP] Calderazzo, Lineu [UNIFESP] Albuquerque, Marly de [UNIFESP] Arida, Ricardo Mario [UNIFESP] Almeida, Antonio-Carlos G. de Cavalheiro, Esper Abrão [UNIFESP] |
dc.subject.por.fl_str_mv |
epilepsy cardiovascular abnormalities heart thalamus sudden unexpected death in epilepsy epilepsia alterações cardiovasculares coração tálamo morte súbita e inesperada nas epilepsias |
topic |
epilepsy cardiovascular abnormalities heart thalamus sudden unexpected death in epilepsy epilepsia alterações cardiovasculares coração tálamo morte súbita e inesperada nas epilepsias |
description |
Sudden unexpected death in epilepsy (SUDEP) is the most important direct epilepsy-related cause of death in people with chronic epilepsy. Its physiopathology is still unknown; however, the most commonly suggested potential mechanisms involve cardiac or respiratory abnormalities. As the anatomical substrate of epileptic activity in the central nervous system (CNS) shows a direct relationship with cardiovascular alterations, this may suggests that patients with epilepsy associated with focal CNS lesions may be at particular risk of SUDEP. Currently, experimental and clinical data support an important role for thalamic nuclei in the behavioural manifestations, initiation and propagation of seizures. In view of the above findings, we purpose that SUDEP, at least in some cases, could be related to the occurrence of thalamic dysfunction or anatomic change. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-03-01 2015-06-14T13:39:07Z 2015-06-14T13:39:07Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0004-282X2009000100037 Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 67, n. 1, p. 139-143, 2009. 10.1590/S0004-282X2009000100037 S0004-282X2009000100037.pdf 0004-282X S0004-282X2009000100037 http://repositorio.unifesp.br/handle/11600/4945 WOS:000264693900037 |
url |
http://dx.doi.org/10.1590/S0004-282X2009000100037 http://repositorio.unifesp.br/handle/11600/4945 |
identifier_str_mv |
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 67, n. 1, p. 139-143, 2009. 10.1590/S0004-282X2009000100037 S0004-282X2009000100037.pdf 0004-282X S0004-282X2009000100037 WOS:000264693900037 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
139-143 application/pdf |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268359148044288 |