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Dravet syndrome and parent associations: The IDEA League experience with comorbid conditions, mortality, management, adaptation, and grief
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Summary: The advent of social networking via the Internet and the commercial availability of tests for SCN1A mutations permitted the rapid development and growth of parent‐led associations that provide advocacy and support, as well as promote education and research regarding Dravet syndrome (DS) in the last 10 years. The International Dravet syndrome Epilepsy Action League (IDEA League) is a partnership of parents and professionals united in the purpose of creating greater awareness and understanding of DS. In 2004, parents in the IDEA League support network began to collect data from families about their children with DS in order to investigate observations that, in addition to epilepsy, many of the children seemed to share similar problems. The information gained suggests comorbid conditions and raises many hypotheses for further research. The process has led to more rigorous formal studies and an increased understanding of the clinical spectrum of DS. There is an urgent need for collaborative research, comprehensive care, and professional and family education. Mortality appears high, primarily due to sudden unexplained death in epilepsy (SUDEP) and status epilepticus (SE). Most parents wish direct discussions with their child’s physician about mortality. The high risk of death and the many other stresses related to DS result in recurrent grief and loss for patients and families and highlights their need for additional advocacy and support.
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“As the child grows, many of these morbidities, such as behaviour, become the main concern for families who are already skilled at managing seizures 156 .”
From Developmental and epileptic encephalopathies (2024) · cites this paper as [156]
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“The severity of epilepsy in patients with DEEs should not reduce the focus on comorbidities as cognitive, psychiatric (such as ASD, anxiety, mood and behavioural disorders, psychosis), motor and medical disorders occur frequently 110,152,153,156,215 .”
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Matthews, E. L., Balestrini, S., Sisodiya, S. M., & Hanna, M. G. (2020) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(19)30425-0 · Cited by 22
Huang, C.-H., Hung, P.-L., Fan, P., Lin, K., Hsu, T., Chou, I., Ho, C., Chou, I., Lin, W., Lee, I., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-98517-4 · Cited by 18
Cardiac-Specific Deletion of Scn8a Mitigates Dravet Syndrome-Associated Sudden Death in Adults
King, D. R., Demirtaş, M., Tarasov, M., Struckman, H. L., Meng, X.-L., Nassal, D. M., Moise, N., Miller, A., Min, D., Soltisz, A. M., et al. (2024) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2024.01.003 · Cited by 19
Fatal Status Epilepticus in Dravet Syndrome
Liso, P. D., Pironi, V., Mastrangelo, M., Battaglia, D., Craiu, D., Trivisano, M., Specchio, N., Nabbout, R., & Vigevano, F. (2020) · Brain Sciences · doi:10.3390/brainsci10110889 · Cited by 19
The Role of the Autonomic Nervous System in Epilepsy and Migraine: A Narrative Review
D’Agnano, D., Cernigliaro, F., Ferretti, A., Cascio, S. L., Correnti, E., Terrin, G., Santangelo, A., Bellone, G., Raieli, V., Sciruicchio, V., et al. (2024) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2307128 · Cited by 18
Caring for Children with Dravet Syndrome: Exploring the Daily Challenges of Family Caregivers
Domaradzki, J., & Walkowiak, D. (2023) · Children · doi:10.3390/children10081410 · Cited by 18
Testimonies submitted for the Institute of Medicine report
AUSTIN, J. K., Hesdorffer, D. C., Liverman, C. T., & Schultz, A. M. (2012) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2012.10.003 · Cited by 18
Williams, A. D., Kalume, F. K., Westenbroek, R. E., & Catterall, W. A. (2019) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2019.108315 · Cited by 16
Sahai, N., Bard, A. M., Devinsky, O., & Kalume, F. K. (2020) · Neurobiology of Disease · doi:10.1016/j.nbd.2020.105154 · Cited by 20
Nabbout, R., Chémaly, N., Chiron, C., & Kuchenbuch, M. (2021) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2021.1890025 · Cited by 16
Brain morphometry of Dravet Syndrome
Pérez, A., García‐Pentón, L., Canales-Rodríguez, E. J., Lerma‐Usabiaga, G., Iturria‐Medina, Y., Román, F. J., Davidson, D. J., Alemán‐Gómez, Y., Acha, J., & Carreiras, M. (2014) · Epilepsy Research · doi:10.1016/j.eplepsyres.2014.06.006 · Cited by 16
Helping families cope with the devastation of Dravet syndrome
CAMFIELD, P. R., Camfield, C., & Nolan, K. M. (2012) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2012.04.008 · Cited by 16
Self-citationMarshall, J. D., Skrobanski, H., Moore-Ramdin, L., Kornalska, K., Swinburn, P., & Bowditch, S. (2023) · Journal of Child Neurology · doi:10.1177/08830738231185241 · Cited by 14
Seizure-Related Autonomic Changes in Children
Moseley, B. D. (2015) · Journal of Clinical Neurophysiology · doi:10.1097/wnp.0000000000000138 · Cited by 13
Metadata
- Authors
- Skluzacek, J. V., Watts, K. P., Parsy, O., Wical, B., & Camfield, P.
- Affiliations
- Gillette Children's Specialty Healthcare (US)
- Dalhousie University (CA)
- Corresponding author
- Skluzacek, Joan V.
- Venue
- Epilepsia
- Publisher
- Wiley
- Published
- 2011-04
- Volume
- 52
- Issue
- s2
- Pages
- 95-101
- ISSN
- 0013-9580 (ISSN-L)
- 1528-1167
- OpenAlex
- W1480442999
- Cited by
- 170
- References
- 11
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 22 · 2023: 15 · 2022: 9 · 2021: 17 · 2020: 16 · 2019: 11 · 2018: 11 · 2017: 14 · 2016: 9 · 2015: 8 · 2014: 6 · 2013: 9 · 2012: 6
- FWCI
- 4.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epilepsia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Physiology (medical) › Diet and metabolism studies
- Keywords
- Dravet syndrome, parent associations, comorbidities, mortality, sudden unexpected death in epilepsy, status epilepticus, grief, parental advocacy, SCN1A mutations, epilepsy, family support
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Child, Child, Preschool, Epilepsies, Myoclonic, Female, Grief, Humans, Infant, Male, Mortality, Parent-Child Relations, Self-Help Groups, Comorbidity, Disease Management, Internationality, Young Adult
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