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Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window

Mechanical thrombectomy 6–24 h after the last time where a patient was known to be without signs or symptoms of a stroke is the standard of care for patients with a stroke due to large vessel occlusion. This is referred to as thrombectomy within an extended time window. There have been very few stud...

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Autores principales: Agashe, Shruti, Hooper, Destiny, Nisar, Tariq, McCane, David, Lee, Jason, Chyuan Ling, Ken, S.Vahidy, Farhaan, Chiu, David, Gadhia, Rajan R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903293/
https://www.ncbi.nlm.nih.gov/pubmed/33665599
http://dx.doi.org/10.1016/j.ebr.2020.100426
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author Agashe, Shruti
Hooper, Destiny
Nisar, Tariq
McCane, David
Lee, Jason
Chyuan Ling, Ken
S.Vahidy, Farhaan
Chiu, David
Gadhia, Rajan R.
author_facet Agashe, Shruti
Hooper, Destiny
Nisar, Tariq
McCane, David
Lee, Jason
Chyuan Ling, Ken
S.Vahidy, Farhaan
Chiu, David
Gadhia, Rajan R.
author_sort Agashe, Shruti
collection PubMed
description Mechanical thrombectomy 6–24 h after the last time where a patient was known to be without signs or symptoms of a stroke is the standard of care for patients with a stroke due to large vessel occlusion. This is referred to as thrombectomy within an extended time window. There have been very few studies looking at patients who had seizures within the first week (early post-stroke seizures) following mechanical thrombectomy in this extended time window. Our study suggests that this group of patients does not have a higher incidence of early post stroke seizures. Our findings do reveal however, that patients who do have early post-stroke seizures may have a less favorable functional outcome at 90 days than those who did not develop early seizures. Hence, rapid identification and subsequent treatment of seizures in these patients is important.
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spelling pubmed-79032932021-03-03 Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window Agashe, Shruti Hooper, Destiny Nisar, Tariq McCane, David Lee, Jason Chyuan Ling, Ken S.Vahidy, Farhaan Chiu, David Gadhia, Rajan R. Epilepsy Behav Rep Article Mechanical thrombectomy 6–24 h after the last time where a patient was known to be without signs or symptoms of a stroke is the standard of care for patients with a stroke due to large vessel occlusion. This is referred to as thrombectomy within an extended time window. There have been very few studies looking at patients who had seizures within the first week (early post-stroke seizures) following mechanical thrombectomy in this extended time window. Our study suggests that this group of patients does not have a higher incidence of early post stroke seizures. Our findings do reveal however, that patients who do have early post-stroke seizures may have a less favorable functional outcome at 90 days than those who did not develop early seizures. Hence, rapid identification and subsequent treatment of seizures in these patients is important. Elsevier 2021-01-07 /pmc/articles/PMC7903293/ /pubmed/33665599 http://dx.doi.org/10.1016/j.ebr.2020.100426 Text en © 2021 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Agashe, Shruti
Hooper, Destiny
Nisar, Tariq
McCane, David
Lee, Jason
Chyuan Ling, Ken
S.Vahidy, Farhaan
Chiu, David
Gadhia, Rajan R.
Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
title Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
title_full Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
title_fullStr Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
title_full_unstemmed Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
title_short Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
title_sort incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903293/
https://www.ncbi.nlm.nih.gov/pubmed/33665599
http://dx.doi.org/10.1016/j.ebr.2020.100426
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