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Anatomic findings (eg, tongue\/lip bite) are commonly absent and of varying specificity, thereby limiting the evidence to implicate epilepsy as a cause of or contributor to death. Thus it is likely that death certificates significantly underrepresent the true number of deaths in which epilepsy was a factor. To address this, members of the National Association of Medical Examiners, North American <jats:styled-content style=\"fixed-case\">SUDEP<\/jats:styled-content> Registry, Epilepsy Foundation <jats:styled-content style=\"fixed-case\">SUDEP<\/jats:styled-content> Institute, American Epilepsy Society, and the Centers for Disease Control and Prevention constituted an expert panel to generate evidence\u2010based recommendations for the practice of death investigation and autopsy, toxicological analysis, interpretation of autopsy and toxicology findings, and death certification to improve the precision of death certificate data available for public health surveillance of epilepsy\u2010related deaths. The recommendations provided in this paper are intended to assist medical examiners, coroners, and death investigators when a sudden unexpected death in a person with epilepsy is encountered.<\/jats:p>","DOI":"10.1111\/epi.14030","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T08:33:07Z","timestamp":1519893187000},"page":"530-543","source":"Crossref","is-referenced-by-count":37,"title":["National Association of Medical Examiners position paper: Recommendations for the investigation and certification of deaths in people with epilepsy"],"prefix":"10.1111","volume":"59","author":[{"given":"Owen","family":"Middleton","sequence":"first","affiliation":[{"name":"Hennepin County Medical Examiner's Office Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Atherton","sequence":"additional","affiliation":[{"name":"Anatomic Pathology Division of Forensic Pathology Cooper Green Hospital University of Alabama at 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