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Early seizures in acute stroke
Chraa Mohamed1, Najib Kissani1
1Neurology Department, Mohamed VI University Hospital, Marrakesh, Morocco.
The Pan African Medical Journal
|June 23, 2015
Summary
Early seizures (ES) occurred in 13% of first-ever stroke patients. Cortical involvement and hemorrhagic transformation predicted ES, which were linked to worse outcomes like mortality and disability.
Area of Science:
- Neurology
- Stroke Medicine
- Epileptology
Background:
- Early seizures (ES) are a potential complication following acute stroke.
- Understanding the frequency and predictors of ES is crucial for patient management.
Purpose of the Study:
- To determine the incidence of early seizures in patients experiencing their first-ever stroke.
- To identify factors predicting early seizures.
- To evaluate the clinical outcomes associated with early seizures.
Main Methods:
- Retrospective study of 352 consecutive patients with first-ever stroke.
- Exclusion of patients with a prior epilepsy history.
- Definition of early seizures as occurring within 7 days of stroke onset.
Main Results:
- 13% of patients (47/352) experienced early seizures; 8 had status epilepticus.
- Early seizures were more frequent in cases with cortical involvement, severe/large strokes, and cortical hemorrhage.
- Hemorrhagic transformation was identified as a predictive factor for ES.
- Early seizures correlated with increased adverse outcomes, including mortality and disability.
Conclusions:
- Early seizures affect approximately 13% of first-ever stroke patients.
- Predictive factors for ES include cortical involvement and hemorrhagic transformation.
- Early seizures are associated with poorer clinical outcomes after acute stroke.
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