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There are a number of way but the 2 main reasons are cardiac arrhythmia or respiratory arrest
My friend who died when I was 19, her heart gave out. She was seuzing for 7 hours, but I imagine if she had survived her brain would have been mush after so long.
Sometimes, with nocturnal seizures, the person will roll into their pillow and suffocate.
You roll a seizing person on their side, called the recovery position, so when the seizure stops, the tongue will relax and stop blocking the airway. As if they vomit, it will not go into their lungs.
The Spectrum of Neuropathologic Findings in Deaths Associated with Seizure Disorders
My friend who died when I was 19, her heart gave out. She was seuzing for 7 hours, but I imagine if she had survived her brain would have been mush after so long.
Sometimes, with nocturnal seizures, the person will roll into their pillow and suffocate.
You roll a seizing person on their side, called the recovery position, so when the seizure stops, the tongue will relax and stop blocking the airway. As if they vomit, it will not go into their lungs.

The Spectrum of Neuropathologic Findings in Deaths Associated with Seizure Disorders