Epileptic Seizures at the Onset of Stroke

Dávalos, Antonio; Cendra, E. De; Molins, A; Ferrándiz, María Encarnación Aguilar; López-Pousa, Secundino; Genı́s, David

doi:10.1159/000109039

Cited by 54 publications

(39 citation statements)

References 9 publications

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“…Similar to other previous studies, a higher prevalence (27.12%) of late seizures was found among patients with hemorrhagic lesions (3,5,7,9,10). In ischemic strokes, this was only 12.15%, with the higher frequency in MCA lesions.…”

Section: Discussionsupporting

confidence: 89%

Poststroke Late Seizures and Their Role in Rehabilitation of Inpatients

et al. 1997

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Summary:Purpose: This study was designed to (a) identify the prevalence of poststroke late seizures in a population of patients admitted to rehabilitation of neurologic sequelae of their first stroke, (b) recognize reliable prognostic factors associated with the occurrence of poststroke late seizures, and (c) evaluate the impact of seizures on the results of rehabilitation treatment.Methods: In a prospective study of 306 consecutive patients admitted to a rehabilitation hospital for sequelae of their first stroke, we assessed the relation among 15 independent variables and the development of seizures by using multiple regression analysis (forward stepwise). In addition, we evaluated the impact of occurrence of poststroke seizures on both efficiency and effectiveness of rehabilitation and length of stay.Results: Poststroke late seizures occurred in 46 (15.03%) patients, with a mean interval from stroke of 101.98 f 37.96 days. In multiple regression analysis, putaminal and lobar hemorrhages showed a significant positive association with the development of seizures (p < 0.005), whereas high scores on the Canadian Neurological Scale (CNS) (indicating less severe strokes) and increasing age were negatively associated (p < 0.01 and p < 0.05, respectively). Patients with putaminal and lobar hemorrhages and patients with severe stroke (CNS score at admission, <7) were at significantly greater relative risk of seizures [relative risk (RR) = 1.99, 95% confidence interval (CI), 1.11-1.39; RR = 3.00, CI, 1.06-1.13; and RR = 2.41, CI, 1.01-1.27, respectively). No significant association was found between poststroke seizures and results of rehabilitation.Conclusions: Poststroke late seizures occurred mainly in patients with putaminal and lobar hemorrhagic strokes but, if treated, did not affect rehabilitation therapy.

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Section: Discussionsupporting

confidence: 89%

Poststroke Late Seizures and Their Role in Rehabilitation of Inpatients

et al. 1997

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“…704,[731][732][733][734] The true risk of seizures appears to be toward the lower end of the estimate. Seizures are more likely to occur within 24 hours of stroke and are usually partial, with or without secondary generalization.…”

Section: Seizuresmentioning

confidence: 98%

Guidelines for the Early Management of Adults With Ischemic Stroke

Adams

Zoppo²,

Alberts

et al. 2007

Stroke

2,116

483

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Section: Seizuresmentioning

confidence: 99%

Guidelines for the Early Management of Adults With Ischemic Stroke

Adams¹,

Zoppo²,

Alberts³

et al. 2007

Circulation

1,059

745

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Purpose-Our goal is to provide an overview of the current evidence about components of the evaluation and treatment of adults with acute ischemic stroke. The intended audience is physicians and other emergency healthcare providers who treat patients within the first 48 hours after stroke. In addition, information for healthcare policy makers is included. Key Words: AHA Scientific Statements Ⅲ emergency medical services Ⅲ stroke Ⅲ acute cerebral infarction Ⅲ tissue plasminogen activator †Deceased. The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. Methods-Members

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Epileptic Seizures at the Onset of Stroke

Cited by 54 publications

References 9 publications

Poststroke Late Seizures and Their Role in Rehabilitation of Inpatients

Poststroke Late Seizures and Their Role in Rehabilitation of Inpatients

Guidelines for the Early Management of Adults With Ischemic Stroke

Guidelines for the Early Management of Adults With Ischemic Stroke

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