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Early seizures in acute stroke

Early seizures (ES) may complicate the clinical course of patients with acute stroke. The aim of this study was to assess the frequency and the predictive factors for early seizures as well the clinical outcome in patients with first-ever stroke. A total of 352 consecutive patients with first-ever s...

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Detalles Bibliográficos
Autores principales: Mohamed, Chraa, Kissani, Najib
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462553/
https://www.ncbi.nlm.nih.gov/pubmed/26097640
http://dx.doi.org/10.11604/pamj.2015.20.136.5925
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author Mohamed, Chraa
Kissani, Najib
author_facet Mohamed, Chraa
Kissani, Najib
author_sort Mohamed, Chraa
collection PubMed
description Early seizures (ES) may complicate the clinical course of patients with acute stroke. The aim of this study was to assess the frequency and the predictive factors for early seizures as well the clinical outcome in patients with first-ever stroke. A total of 352 consecutive patients with first-ever stroke, admitted to our department, were included in this retrospective study. Early seizures were defined as seizures occurring within 7 days from acute stroke. Patients with history of epilepsy were excluded. About 47 patients (13%) had early seizure, and 8 had a status epilepticus. We had 28 women and 19 men. The mean age was 71.6 ± 14.6. They were significantly more common in patients with cortical involvement, severe and large stroke, and in patient with cortical associated hemorrhage. ES were associated with an increase in adverse outcome (mortality and disability). Early seizures occured in about 13% of patients with acute stroke. In these patients hemorrhagic transformation is a predictive factor for ES. ES seem to be associated with a worse outcome after acute stroke.
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spelling pubmed-44625532015-06-19 Early seizures in acute stroke Mohamed, Chraa Kissani, Najib Pan Afr Med J Case Series Early seizures (ES) may complicate the clinical course of patients with acute stroke. The aim of this study was to assess the frequency and the predictive factors for early seizures as well the clinical outcome in patients with first-ever stroke. A total of 352 consecutive patients with first-ever stroke, admitted to our department, were included in this retrospective study. Early seizures were defined as seizures occurring within 7 days from acute stroke. Patients with history of epilepsy were excluded. About 47 patients (13%) had early seizure, and 8 had a status epilepticus. We had 28 women and 19 men. The mean age was 71.6 ± 14.6. They were significantly more common in patients with cortical involvement, severe and large stroke, and in patient with cortical associated hemorrhage. ES were associated with an increase in adverse outcome (mortality and disability). Early seizures occured in about 13% of patients with acute stroke. In these patients hemorrhagic transformation is a predictive factor for ES. ES seem to be associated with a worse outcome after acute stroke. The African Field Epidemiology Network 2015-02-17 /pmc/articles/PMC4462553/ /pubmed/26097640 http://dx.doi.org/10.11604/pamj.2015.20.136.5925 Text en © Chraa Mohamed et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Mohamed, Chraa
Kissani, Najib
Early seizures in acute stroke
title Early seizures in acute stroke
title_full Early seizures in acute stroke
title_fullStr Early seizures in acute stroke
title_full_unstemmed Early seizures in acute stroke
title_short Early seizures in acute stroke
title_sort early seizures in acute stroke
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462553/
https://www.ncbi.nlm.nih.gov/pubmed/26097640
http://dx.doi.org/10.11604/pamj.2015.20.136.5925
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