Dysautonomia in people with epilepsy: A scoping review

Rodriguez-Quintana, Jesús Hernán; Bueno-Florez, Silvia; Mora-Muñoz, Laura; Orrego-González, Eduardo; Barragan, Ana María; Suárez-Burgos, Fabio; Velez-Van-Meerbeke, Alberto; Cendes, Fernando

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dc.creator	Rodriguez-Quintana, Jesús Hernán
dc.creator	Bueno-Florez, Silvia
dc.creator	Mora-Muñoz, Laura
dc.creator	Orrego-González, Eduardo
dc.creator	Barragan, Ana María
dc.creator	Suárez-Burgos, Fabio
dc.creator	Velez-Van-Meerbeke, Alberto
dc.creator	Cendes, Fernando
dc.date.accessioned	2023-02-14T00:45:31Z
dc.date.available	2023-02-14T00:45:31Z
dc.date.created	2023-02
dc.identifier.issn	1059-1311	spa
dc.identifier.uri	http://repositorio.mederi.com.co/handle/123456789/746
dc.description	Background Epilepsy is one of the most common neurological diseases and has high morbidity and mortality. Multiple methods for assessing dysautonomia have been reported; however, the patient characteristics and epilepsy features that drive any method selection are unclear. People with epilepsy (PWE) can experience sudden unexpected death in epilepsy (SUDEP) and one reason can be dysautonomia. If dysautonomia can be detected in PWE before a severe event, then it could complement and redirect patient treatment and monitoring. Objective To map the available literature on dysautonomia in PWE and describe patients’ characteristics and methods used to evaluate dysautonomia. Methods We performed a scoping literature review. We searched PubMed, Scopus, Embase, and hand searched starting from the first registry in the literature until August 2019. Studies were independently assessed by three authors and two epileptologists. We present data in tables and summarize information according to the following structure: population, concepts, and context. Results Thirty-five studies were included in the analysis with epidemiological designs including case reports (23), cross-sectional studies (4), case‒controls (7), and cohort studies (1). A total of 618 patients were enrolled. Heart rate variability, arrhythmia, blood pressure, the tilt-table test, polysomnography, respiratory function, and magnetic resonance imaging were the methods most commonly used to assess dysautonomia in PWE. A detailed description of the heart rate variability assessment is presented. Conclusions This review provides a broad description of the available literature identifying clinical findings, the most frequently reported assessment measurements of dysautonomia, in temporal lobe epilepsy and extratemporal epilepsies.	spa
dc.format.mimetype	application/pdf	spa
dc.relation.uri	https://doi.org/10.1016/j.seizure.2022.12.003	spa
dc.rights	Atribución-NoComercial-SinDerivadas 2.5 Colombia	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/2.5/co/	*
dc.title	Dysautonomia in people with epilepsy: A scoping review	spa
dc.subject.keyword	Epilepsy	spa
dc.subject.keyword	Dysautonomia	spa
dc.subject.keyword	Sudden unexpected death	spa
dc.rights.accessRights	openAccess	spa
dc.type.hasVersion	acceptedVersion	spa

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