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Generally, 6-8% of adult ischemic stroke patients will appear after stroke epileptic seizures
Stroke epilepsy
In the long term, seizures may cause injury, impair the ability to work or operate vehicles, and affect the quality of life
prevention
Seizures after a stroke are called acute symptomatic (occurring within the first week after the stroke) or long-term symptomatic (late onset; occurring after the first week)
10 Little is known about the role of brain imaging or electroencephalography (EEG) in predicting seizures after stroke
Thrombolytic therapy (intravenous or IA) and vascular inner thrombus resection acute ischemic stroke is effective and frequently used method of reperfusion therapy
A recent systematic review of vascular thrombosis concluded that this association is still uncertain
In a multicenter study, they used Logistic or Cox regression to assess risk factors for post-stroke seizures.
In a total cohort of 4229 participants (mean age 71 years, 57% male), more severe strokes, infarctions in the area of the posterior cerebral artery, and acute symptomatic episodes of stroke caused by large atherosclerosis were observed The risk is higher
Stroke caused by occlusion of small blood vessels carries a small risk of acute symptomatic attacks
The risk factors for post-stroke epilepsy are acute symptomatic attacks, more severe strokes, infarctions involving the cerebral cortex, and strokes caused by arteriosclerosis
The important significance of this study is to explain : post-stroke epileptic seizures are related to the severity, etiology and location of stroke, and early EEG has no predictive effect on epilepsy
: Post-stroke seizures are related to the severity, etiology and location of the stroke, but early EEG has no predictive effect on epilepsy
Seizures after ischemic stroke: a matched multicenter study.
Ann Neurol.
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