Epilepsy and mortality

Abstract

Abstract In contrast to other causes of mortality, epilepsy-related deaths are rising. The risk of epilepsy-related mortality might be reduced by considering a number of modifiable risk factors and there are evidence-based risk assessment tools available that can help guide risk discussion. National and international guidelines advocate early discussion of risk following epilepsy diagnosis, specifically discussion around the risk of sudden unexpected death in epilepsy. A lack of communication between clinicians and patients, families, and carers has repeatedly been highlighted as a cause for exacerbating trauma. In order to reduce risk, it is advocated that all people with epilepsy should have a robust individualized care plan that can be communicated easily between professionals. Reducing seizure frequency should be a main goal of treatment. Each person should also have equitable access to appropriate specialist care and a systematic review of any physical and psychological comorbidity. This chapter also considers other key mortality risk factors in people with epilepsy including pregnancy, status epilepticus, accidental injury, and suicide.