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Seizure disorders. The Dade County experience from 1978 to 1982
The American Journal of Forensic Medicine and Pathology
|September 1, 1984
Summary
Seizure disorders were a significant factor in natural and accidental deaths, particularly in males and across all age groups. Brain pathology and lack of seizure medication were noted in these cases.
Area of Science:
- Neurology
- Forensic Pathology
Background:
- Seizure disorders represent a notable cause of mortality within forensic populations.
- Understanding the demographics and contributing factors in these deaths is crucial for public health.
Purpose of the Study:
- To analyze the characteristics of seizure disorder deaths in the Metropolitan Dade County medical examiner population from 1978 to 1982.
- To identify demographic trends, associated conditions, and potential contributing factors.
Main Methods:
- Retrospective analysis of death investigation records.
- Examination of autopsy findings, including toxicology and neuropathology.
Main Results:
- Seizure disorders accounted for 2% of natural and accidental deaths.
- Males were more frequently affected than females; Black and White populations were equally represented.
- Half of the cases were under 40, with the other half over 40.
- Alcohol abuse was common, though alcohol was absent in at least 42.5% of autopsies.
Conclusions:
- Seizure disorders present a significant mortality risk across diverse demographics.
- Brain pathology and the absence of antiepileptic medications are critical considerations in these deaths.