PMID- 19389147 OWN - NLM STAT- MEDLINE DCOM- 20090828 LR - 20211020 IS - 1528-1167 (Electronic) IS - 0013-9580 (Print) IS - 0013-9580 (Linking) VI - 50 IP - 8 DP - 2009 Aug TI - Mortality in captive baboons with seizures: a new model for SUDEP? PG - 1995-8 LID - 10.1111/j.1528-1167.2009.02073.x [doi] AB - Because the baboon is a model of primary generalized epilepsy, we were interested in mortality of captive animals with a history of witnessed seizures. Causes of natural death were investigated in 46 seizure baboons (SZ) and 78 nonepileptic controls (CTL), all of which underwent a complete pathologic examination at the Southwest Foundation for Biomedical Research (SFBR) in San Antonio. SZ animals died at a younger age than the control baboons (p < 0.001). Almost all epileptic baboons that died suddenly without an apparent cause (SZ-UKN), had pulmonary congestion or edema without evidence of trauma, systemic illness, or heart disease, compared to nine controls (12%) (p < 0.001), most of which demonstrated evidence of a concurrent illness. Serosanguineous bronchial secretions were found in 15 SZ-UKN baboons (58%), but in only three controls (4%) (p < 0.001). Chronic multifocal fibrotic changes in myocardium were noted in only three (12%) of SZ-UKN baboons and one control baboon. Based upon these results, untreated seizures appear to reduce the life expectancy of captive baboons. Sudden unexpected death in epilepsy (SUDEP) may be a common cause of natural death in epileptic baboons. FAU - Szabo, C Akos AU - Szabo CA AD - South Texas Comprehensive Epilepsy Center, Department of Neurology, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229-7883, USA. szabo@uthscsa.edu FAU - Knape, Koyle D AU - Knape KD FAU - Leland, M Michelle AU - Leland MM FAU - Feldman, Jake AU - Feldman J FAU - McCoy, Karin J M AU - McCoy KJ FAU - Hubbard, Gene B AU - Hubbard GB FAU - Williams, Jeff T AU - Williams JT LA - eng GR - R01 NS047755/NS/NINDS NIH HHS/United States GR - 1 R01 NS047755-01/NS/NINDS NIH HHS/United States GR - R21 NS065431/NS/NINDS NIH HHS/United States GR - R21 NS065431-01A1/NS/NINDS NIH HHS/United States GR - P51 OD011133/OD/NIH HHS/United States GR - C06 RR014578/RR/NCRR NIH HHS/United States GR - C06 RR15456/RR/NCRR NIH HHS/United States GR - C06 RR015456/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20090406 PL - United States TA - Epilepsia JT - Epilepsia JID - 2983306R SB - IM MH - Animals MH - Case-Control Studies MH - Cause of Death MH - *Death, Sudden MH - Disease Models, Animal MH - Electroencephalography MH - Epilepsy/mortality/pathology/*veterinary MH - Female MH - Male MH - Monkey Diseases/*mortality MH - Papio/*physiology MH - Retrospective Studies MH - Risk Factors PMC - PMC2935173 MID - NIHMS201429 EDAT- 2009/04/25 09:00 MHDA- 2009/08/29 09:00 PMCR- 2010/09/07 CRDT- 2009/04/25 09:00 PHST- 2009/04/25 09:00 [entrez] PHST- 2009/04/25 09:00 [pubmed] PHST- 2009/08/29 09:00 [medline] PHST- 2010/09/07 00:00 [pmc-release] AID - EPI2073 [pii] AID - 10.1111/j.1528-1167.2009.02073.x [doi] PST - ppublish SO - Epilepsia. 2009 Aug;50(8):1995-8. doi: 10.1111/j.1528-1167.2009.02073.x. Epub 2009 Apr 6.