| A nationwide survey of the extent of autopsy in sudden unexplained death in epilepsy. | |
MedLine Citation:
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PMID: 19465799 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sudden unexplained death in epilepsy is a catastrophic event that requires autopsy for definitive diagnosis. Lack of awareness of sudden unexplained death in epilepsy as an important cause of death in epilepsy has been observed among coroners and pathologists. This survey study of US coroners and medical examiners (MEs) assesses their postmortem examinations of persons with epilepsy who had died suddenly without obvious cause. Analysis of the 510 survey responses shows that pathologists are significantly more likely than nonpathologists to inquire routinely about a history of cardiac disease, remove the brain for examination, or collect blood samples for determinations of anticonvulsant and psychotropic drugs. Urban coroners and MEs are significantly more likely than their nonurban colleagues to remove the brain for examination or collect blood samples for these determinations. Lack of family consent and the cost of autopsy are major reasons for not performing an autopsy of persons with epilepsy. Our study underscores the importance of promoting to all coroners and MEs and to the public the need for thorough autopsy of persons with epilepsy when the cause of death is not obvious. |
Authors:
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Paul L Schraeder; Kristen Delin; Robyn L McClelland; Elson L So |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of forensic medicine and pathology Volume: 30 ISSN: 1533-404X ISO Abbreviation: Am J Forensic Med Pathol Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-25 Completed Date: 2009-09-29 Revised Date: 2011-02-02 |
Medline Journal Info:
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Nlm Unique ID: 8108948 Medline TA: Am J Forensic Med Pathol Country: United States |
Other Details:
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Languages: eng Pagination: 123-6 Citation Subset: IM |
Affiliation:
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Department of Neurology, Drexel University College of Medicine, Philadelphia, PA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anticonvulsants
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blood Autopsy / economics, methods, statistics & numerical data* Blood Specimen Collection / statistics & numerical data Coroners and Medical Examiners / statistics & numerical data* Death, Sudden / etiology* Epilepsy / complications* Forensic Pathology Humans Physician's Practice Patterns / statistics & numerical data* Questionnaires Referral and Consultation / statistics & numerical data Third-Party Consent United States Urban Population |
| Chemical | |
Reg. No./Substance:
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0/Anticonvulsants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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