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I read the article by Cihan et al.1 with interest. Sudden unexpected death in epilepsy (SUDEP) is a dreadful event for families and physicians caring for patients with epilepsy. A case-control examination of SUDEP postmortems has shown no seasonal and diurnal patterns exist for SUDEP.1 A downward trend in the incidence of SUDEP over 8 years is a welcome finding. Greater awareness, access to affordable medical care, and changes in antiseizure drug prescribing may have had positive effects on the incidence of SUDEP.
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Author disclosures are available upon request (journal{at}neurology.org).
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