Incidence and risk factors of post-stroke seizures and epilepsy: systematic review and meta-analysis

Nandan, Aathmika; Zhou, Yi Mei; Demoe, Lindsay; Waheed, Adnan; Jain, Puneet; Widjaja, Elysa

doi:10.1177/03000605231213231

Cited by 1 publication

(4 citation statements)

References 142 publications

(107 reference statements)

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“…al. carried out a systematic review and meta-analysis and found cortical involvement to be a risk factor for both early and late ES [24]. We did not find a link, possibly due to a low number of patients with ES.…”

Section: Discussionmentioning

confidence: 58%

“…-according to radiological findings, patients were divided into 4 groups: acute cerebral cortical damage, acute cerebellar cortical damage, acute cerebral and cerebellar cortical damage, and subcortical damage. Since studies do not link ES to the damage of the cerebellar cortex, but to the cerebral cortex [24,25], we focused our calculations on the latter; -EEG findings were divided into 2 groups and 2 subgroups: without focal changes, which was subdivided into normal and diffuse nonspecific changes (generalized slowing, generalized beta activity, etc. ), and with focal changes, which was subdivided into focal slowing and interictal epileptiform discharges.…”

Section: Classification Of Gathered Datamentioning

confidence: 99%

“…Data about demographic and clinical risk factors for ES after acute ischemic stroke have been conflicting. Some studies link younger age [16][17][18], atrial fibrillation [19,20], hypertension [21], large-artery atherosclerosis [22], and stroke severity [16,23] with an increased risk of ES, while others fail to produce similar results [7,24]. Stroke characteristics, identifiable with brain imaging, have also been investigated.…”

Section: Introductionmentioning

confidence: 99%

“…For example, ischemic findings in the middle cerebral artery [17] and the posterior cerebral artery [22] territories have been associated with ES. Furthermore, cerebral cortical involvement is regularly described as a risk factor for ES by various authors [24,25].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Association of Epileptic Seizures after Acute Ischemic Stroke with Cerebral Cortical Involvement and Electroencephalographic Changes

Šmigelskytė,

Rimkuvienė,

Žukaitė

et al. 2024

Medicina

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Background and objectives: while acute ischemic stroke is the leading cause of epilepsy in the elderly population, data about its risk factors have been conflicting. Therefore, the aim of our study is to determine the association of early and late epileptic seizures after acute ischemic stroke with cerebral cortical involvement and electroencephalographic changes. Materials and methods: a prospective cohort study in the Hospital of the Lithuanian University of Health Sciences Kaunas Clinics Department of Neurology was conducted and enrolled 376 acute ischemic stroke patients. Data about the demographical, clinical, radiological, and encephalographic changes was gathered. Patients were followed for 1 year after stroke and assessed for late ES. Results: the incidence of ES was 4.5%, the incidence of early ES was 2.7% and the incidence of late ES was 2.4%. The occurrence of early ES increased the probability of developing late ES. There was no association between acute cerebral cortical damage and the occurrence of ES, including both early and late ES. However, interictal epileptiform discharges were associated with the occurrence of ES, including both early and late ES.

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Section: Discussionmentioning

confidence: 58%

Section: Classification Of Gathered Datamentioning

confidence: 99%