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Ictal Mammalian Dive Response: A Likely Cause of Sudden Unexpected Death in Epilepsy

Overview of attention for article published in Frontiers in Neurology, August 2018
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Title
Ictal Mammalian Dive Response: A Likely Cause of Sudden Unexpected Death in Epilepsy
Published in
Frontiers in Neurology, August 2018
DOI 10.3389/fneur.2018.00677
Pubmed ID
Authors

Jose L. Vega

Abstract

Even though sudden unexpected death in epilepsy (SUDEP) takes the lives of thousands of otherwise healthy epilepsy patients every year, the physiopathology associated with this condition remains unexplained. This article explores important parallels, which exist between the clinical observations and pathological responses associated with SUDEP, and the pathological responses that can develop when a set of autonomic reflexes known as the mammalian dive response (MDR) is deployed. Mostly unknown to physicians, this evolutionarily conserved physiological response to prolonged apnea economizes oxygen for preferential use by the brain. However, the drastic cardiovascular adjustments required for its execution, which include severe bradycardia and the sequestration of a significant portion of the total blood volume inside the cardiopulmonary vasculature, can result in many of the same pathological responses associated with SUDEP. Thus, this article advances the hypothesis that prolonged apneic generalized tonic clonic seizures induce augmented forms of the MDR, which, in the most severe cases, cause SUDEP.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 30 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 23%
Student > Master 4 13%
Student > Bachelor 3 10%
Professor > Associate Professor 3 10%
Other 1 3%
Other 4 13%
Unknown 8 27%
Readers by discipline Count As %
Medicine and Dentistry 9 30%
Neuroscience 3 10%
Unspecified 1 3%
Nursing and Health Professions 1 3%
Agricultural and Biological Sciences 1 3%
Other 6 20%
Unknown 9 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 August 2018.
All research outputs
#20,530,891
of 23,100,534 outputs
Outputs from Frontiers in Neurology
#9,028
of 12,015 outputs
Outputs of similar age
#290,349
of 333,251 outputs
Outputs of similar age from Frontiers in Neurology
#234
of 297 outputs
Altmetric has tracked 23,100,534 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 12,015 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 297 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.