期刊
EXPERIMENTAL NEUROLOGY
卷 325, 期 -, 页码 -出版社
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.expneurol.2019.113145
关键词
SUDEP; Serotonin; Epilepsy; Seizures; Death
资金
- Post Comprehensive Exam Fellowship from the Graduate College at the University of Iowa
- Pre-doctoral Fellowship from the American Epilepsy Society/LivaNova, PLC
- NIH/NINDS [F31 NS106819, R01 NS095842]
- Beth L. Tross Epilepsy Professorship
Epilepsy is a highly prevalent disease characterized by recurrent, spontaneous seizures. Approximately one-third of epilepsy patients will not achieve seizure freedom with medical management and become refractory to conventional treatments. These patients are at greatest risk for sudden unexpected death in epilepsy (SUDEP). The exact etiology of SUDEP is unknown, but a combination of respiratory, cardiac, neuronal electrographic dysfunction, and arousal impairment is thought to underlie SUDEP. Serotonin (5-HT) is involved in regulation of breathing, sleep/wake states, arousal, and seizure modulation and has been implicated in the pathophysiology of SUDEP. This review explores the current state of understanding of the relationship between 5-HT, epilepsy, and respiratory and autonomic control processes relevant to SUDEP in epilepsy patients and in animal models.
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