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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.0000130989.17100.96</identifier><identifier>PMID: 15166395</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>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</subject><ispartof>Stroke (1970), 2004-07, Vol.35 (7), p.1769-1775</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c613t-4b564addf7ad729bc2ba7e45bdeb40ca172b10384506be251bc47ea258224fa13</citedby><cites>FETCH-LOGICAL-c613t-4b564addf7ad729bc2ba7e45bdeb40ca172b10384506be251bc47ea258224fa13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,3688,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15911339$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15166395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CAMILO, Osvaldo</creatorcontrib><creatorcontrib>GOLDSTEIN, Larry B</creatorcontrib><title>Seizures and epilepsy after ischemic stroke</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><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.</description><subject>Animals</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Epilepsy - classification</subject><subject>Epilepsy - drug therapy</subject><subject>Epilepsy - epidemiology</subject><subject>Epilepsy - etiology</subject><subject>Epilepsy - physiopathology</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Risk Factors</subject><subject>Seizures - classification</subject><subject>Seizures - drug therapy</subject><subject>Seizures - epidemiology</subject><subject>Seizures - etiology</subject><subject>Seizures - physiopathology</subject><subject>Stroke - classification</subject><subject>Stroke - complications</subject><subject>Stroke - physiopathology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1Lw0AQhhdRbK3-BQmCXiRxZ7-S9SbFLygItp6X3c0Eo-mHu8mh_npTG9C5zOV53xkeQi6AZgAKbihk88VrRvsBTnWhM8iB0kyrAzIGyUQqFCsOyZhSrlMmtB6Rkxg_ep7xQh6TEUhQims5JtdzrL-7gDGxqzLBTd3gJm4TW7UYkjr6d1zWPoltWH_iKTmqbBPxbNgT8vZwv5g-pbOXx-fp3Sz1CnibCieVsGVZ5bbMmXaeOZujkK5EJ6i3kDMHlBdCUuWQSXBe5GiZLBgTlQU-IVf73k1Yf3UYW7PsP8GmsStcd9EopSQv9A683YM-rGMMWJlNqJc2bA1Qs1NlKJhelflTZX5VGa368PlwpXNLLP-ig5seuBwAG71tqmBXvo7_OA3AueY_EV1xaA</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>CAMILO, Osvaldo</creator><creator>GOLDSTEIN, Larry B</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Seizures and epilepsy after ischemic stroke</title><author>CAMILO, Osvaldo ; GOLDSTEIN, Larry B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c613t-4b564addf7ad729bc2ba7e45bdeb40ca172b10384506be251bc47ea258224fa13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Animals</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Epilepsy - classification</topic><topic>Epilepsy - drug therapy</topic><topic>Epilepsy - epidemiology</topic><topic>Epilepsy - etiology</topic><topic>Epilepsy - physiopathology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Risk Factors</topic><topic>Seizures - classification</topic><topic>Seizures - drug therapy</topic><topic>Seizures - epidemiology</topic><topic>Seizures - etiology</topic><topic>Seizures - physiopathology</topic><topic>Stroke - classification</topic><topic>Stroke - complications</topic><topic>Stroke - physiopathology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CAMILO, Osvaldo</creatorcontrib><creatorcontrib>GOLDSTEIN, Larry B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CAMILO, Osvaldo</au><au>GOLDSTEIN, Larry B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Seizures and epilepsy after ischemic stroke</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>35</volume><issue>7</issue><spage>1769</spage><epage>1775</epage><pages>1769-1775</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>15166395</pmid><doi>10.1161/01.STR.0000130989.17100.96</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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