Sudden unexpected death in epilepsy (SUDEP) has an incidence of 1–2 cases per 1,000 patients with epilepsy per year,1 and all of those caring for patients with epilepsy will encounter it at some point. There are many unknowns about SUDEP, and we do not talk about it with our patients, likely because of the lack of knowledge about the mechanism causing this condition, or the risk factors associated with it.

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