Early Seizures After Acute Stroke: A Study of 1,640 Cases

作者：Maude Giroud, Pierre Gras, H. Fayolle, Nathalie André, Pierre Soichot, Raymond Dumas · 发表于：Epilepsia · 年份：1994 · DOI：10.1111/j.1528-1157.1994.tb02540.x · 被引用次数：240 · 研究领域：Acute Ischemic Stroke Management、Epilepsy research and treatment、Neurological and metabolic disorders

We evaluated prospectively the occurrence of seizures within 15 days of a first stroke or transient ischemic episode in 1,640 patients to study relation between seizures and type of stroke. Seizures occurred in 90 patients (5.4%), including 36 (4.4%) of 814 with infarct owing to atheroma, 21 (16.6%) of 126 with infarct owing to cardiogenic embolus, 3 (1%) of 273 owing to lacunar infarct, 5 (1.9%) of 259 owing to transient ischemic attack (TIA), 21 (16.2%) of 129 owing to supratentorial hematoma, and 4 (16.6%) of 24 owing to subarachnoid hemorrhage. Thirteen (14.6%) of 89 subcortical infarcts were associated with seizures. Seizures were the initial sign of stroke in 80 (89%) of 90 cases and were usually single and partial. Seizure symptoms were most often motor, sensory, or visual.