Seizures and epilepsy after ischemic stroke

Although a long-recognized clinical phenomenon, there remain many questions regarding the epidemiology of seizures and epilepsy after ischemic stroke, their effect on outcome, and their treatment. Interpretation of the various studies that have been conducted of postischemic stroke seizures and epil...

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Veröffentlicht in:Stroke (1970) 2004-07, Vol.35 (7), p.1769-1775
Hauptverfasser: CAMILO, Osvaldo, GOLDSTEIN, Larry B
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container_title Stroke (1970)
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creator CAMILO, Osvaldo
GOLDSTEIN, Larry B
description Although a long-recognized clinical phenomenon, there remain many questions regarding the epidemiology of seizures and epilepsy after ischemic stroke, their effect on outcome, and their treatment. Interpretation of the various studies that have been conducted of postischemic stroke seizures and epilepsy are complicated by their heterogeneous designs, inconsistent uses of terminology, small sample sizes, different periods of follow-up, and ambiguities in seizure identification and classification. Estimates of the rate of early postischemic stroke seizures range from 2% to 33%. The rates of late seizures vary from 3% to 67%. The rate of postischemic stroke epilepsy is approximately 2% to 4% and is higher in those who have a late seizure. Data reflecting seizure subtypes are limited. Aside from cortical location and, possibly, stroke severity, no other risk factors for postischemic stroke seizures have been consistently demonstrated. Much additional work is needed to better understand the epidemiology and social impact of postischemic stroke seizures and epilepsy, their prevention, and optimal management.
doi_str_mv 10.1161/01.STR.0000130989.17100.96
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Ovid Autoload; Alma/SFX Local Collection
subjects Animals
Anticonvulsants - therapeutic use
Biological and medical sciences
Epilepsy - classification
Epilepsy - drug therapy
Epilepsy - epidemiology
Epilepsy - etiology
Epilepsy - physiopathology
Humans
Medical sciences
Neurology
Risk Factors
Seizures - classification
Seizures - drug therapy
Seizures - epidemiology
Seizures - etiology
Seizures - physiopathology
Stroke - classification
Stroke - complications
Stroke - physiopathology
Vascular diseases and vascular malformations of the nervous system
title Seizures and epilepsy after ischemic stroke
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