Post-stroke seizures
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Post-stroke seizures. Seizures occur in up to 5% of ischaemic strokes, A third occur in the first 24 hours. Fully referenced neurology checklist.
Demographic features
- Seizures occur in up to 5% of ischaemic strokes
- A third occur in the first 24 hours
Risk factors
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Risk factors for recurrence
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Risk predictors: the SeLECT score
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Prophylaxis
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References
- Kim HJ, Park KD, Choi KG, Lee HW. Clinical predictors of seizure recurrence after the first post-ischemic stroke seizure. BMC Neurol 2016; 16:212.
- Zelano J, Larsson D, Kumlien E, Åsberg S. Pre-stroke seizures: a nationwide register-based investigation. Seizure 2017; 49:25-29.
- Stefanidou M, Das RR, Beiser AS, Sundar B, Kelly-Hayes M, Kase CS, Devinsky O, Seshadri S, Friedman D. Incidence of seizures following initial ischemic stroke in a community-based cohort: The Framingham Heart Study. Seizure 2017; 47:105-110.
- Leung T, Leung H, Soo YO, Mok VC, Wong KS. The prognosis of acute symptomatic seizures after ischaemic stroke. JNNP 2017; 88:86-94.
- Chou CC, Yen DJ, Lin YY, Wang YC, Lin CL, Kao CH. Selective serotonin reuptake inhibitors and poststroke epilepsy: a population-based nationwide study. Mayo Clin Proc 2017; 92:193-199.
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