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  • Stroke-related seizures and epilepsy
  • De Reuck JL
  • Neurol Neurochir Pol 2007[Mar]; 41 (2): 144-9
  • No guidelines exist concerning risk factors, diagnosis, management and treatment of stroke-related seizures. Seizures related to intracerebral haemorrhages occur in 10.6%, while those related to ischaemic stroke appear in 8.6%. Early-onset seizures have a poor prognosis with a high in-hospital mortality rate. They occur significantly more often in patients with haemorrhagic strokes. The recurrence rate is low. Late-onset seizures occur mainly between 6 months and 2 years after stroke with a high recurrence rate. Patients with a partial anterior circulation syndrome, a large cortical infarct with irregular borders, located in the parieto-temporal regions, are mainly at risk. Post-stroke seizures are harmful and require treatment with antiepileptic drugs. Post-stroke EEG can help to predict those patients who are at risk of developing seizures. The difference between early- and late-onset seizures is arbitrary as 20% of seizures occurring in patients with a previous cerebral infarct are the clinical expression of a new stroke.
  • |Cerebral Hemorrhage/*complications[MESH]
  • |Electroencephalography[MESH]
  • |Epilepsy/diagnosis/*epidemiology/etiology[MESH]
  • |Humans[MESH]
  • |Prognosis[MESH]
  • |Recurrence[MESH]
  • |Risk Factors[MESH]
  • |Seizures/diagnosis/*epidemiology/etiology[MESH]
  • |Stroke/*complications[MESH]
  • |Time Factors[MESH]

  • *{{pmid17530577}}
    *<b>[ Stroke-related seizures and epilepsy ]</b> Neurol Neurochir Pol 2007; 41(2) ; 144-9 De Reuck JL


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    Neurol Neurochir Pol

    144 2.41 2007