Clinical Features of Late-onset Poststroke Seizures

Okuda, Shiho; Takano, Shin; Ueno, Masao; Hamaguchi, Hirotoshi; Kanda, Fumio

doi:10.1016/j.jstrokecerebrovasdis.2011.01.006

Cited by 34 publications

(30 citation statements)

References 12 publications

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“…This is different when compared to seizures from other vascular etiologies like acute ischemic stroke and hemorrhagic strokes, where locations like the parietal, temporal, and frontal lobes have a high propensity of seizures as opposed to occipital lobe involvement from PRES as in our cohort [27,28]. Besides, there was no significant correlation between the number of lobes involved from PRES and the occurrence of seizures, which is also unique when compared to patients with ischemic and hemorrhagic strokes [29,30]. Posterior reversible encephalopathy syndrome is a complex disease of heterogeneous etiology, with particular involvement of the parieto-occipital regions likely from relatively sparse sympathetic innervation of the vertebrobasilar circulation [31].…”

Section: Discussioncontrasting

confidence: 56%

Predictors of seizures in patients with posterior reversible encephalopathy syndrome

Hinduja

Habetz

Raina

et al. 2016

Epilepsy & Behavior

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Section: Discussioncontrasting

confidence: 56%

Predictors of seizures in patients with posterior reversible encephalopathy syndrome

Hinduja

Habetz

Raina

et al. 2016

Epilepsy & Behavior

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“…Bizim araştırmalarımıza göre literatürde inme sonrası nöbetler erken ve geç baş-langıç özelliklerine göre hemisferik lokalizasyon açısından karşılaştırılmamıştır. [14] Bizim sonuçlarımızda, diğer çalış-malardan farklı olarak lezyonun yerleşimi açısından her iki grup hemisferik tutulum açısından karşılaştırıldığında erken dönem nöbet gelişenlerde sol hemisfer lezyonunun, geç dönemde ise sağ hemisfer lezyonu tutulumunun istatiksel olarak belirgin düzeyde ön planda olduğu izlenmiştir (p=0.038). Olgu sayımızın az olmasının bu bulgunun güve-nirliliği için kısıtlayıcı bir etken olabileceğini düşünmekle birlikte bu konuda daha geniş olgu sayısı ile yapılacak kapsamlı çalışmaların faydalı olacağını düşünmekteyiz.…”

Section: Discussionunclassified

Early and Late Onset Seizures After Cerebrovascular Disease

Özkan¹

2015

Epilepsi

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“…'nın çalışmasında SVH sonrası nöbetler bizimki ile benzer olarak erken dönemde %36,6, geç dönemde %63,4 olarak bildirilmiştir (10). İnme sonrası geç başlangıçlı nöbetlerde kortikal ve geniş enfarktların riski anlamlı derecede arttırdığı bir çok çalışmada bildirilmiştir (19,20).…”

Section: Discussionunclassified

Epilepsy in the elderly

Balcı¹,

Mutlu²,

Özer³

et al. 2015

tnd

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Amaç: Epilepsi yaşlılarda sık görülen bir hastalıktır, ancak etiyolojisi, klinik sunumu, eşlik eden hastalıkları ve prognozu genç hastalardan farklıdır. Bu çalışmada epilepsi nedenleri, yaşlılarda nöbet tipleri, elektroensefalografi (EEG) bulguları araştırıldı. Gereç ve Yöntem:İlk epileptik nöbetini geçiren ve altmış beş yaş üzerinde 95 hasta retrospektif olarak değerlendirildi. Yaş, epilepsi tipi, EEG bulguları, manyetik rezonans görüntüleme ve/veya kranial tomografi bulguları, etiyoloji, eşlik eden hastalıklar ve verilen antiepileptik tedaviler değerlendirildi. Anah tar Ke li me ler: Epilepsi, nöbet tipi, EEG, tedavi, yaşlı hastalar Objective: Epilepsy is frequently seen in the elderly, but its etiology, clinical presentation, comorbidities, and prognoses are different than younger patients. In this study, we investigated types of seizures, electroencephalography (EEG) findings and the cause of epilepsy in the elderly. Materials and Methods:We retrospectively analyzed 95 patients who were 65 years old or older, and who had an epileptic seizure for the first time. Type of epilepsy, age, EEG findings, magnetic resonance imaging and/or cranial tomography findings, etiology, comorbidities and antiepileptic medication were evaluated. Results:The average age of our patients was 75, and 50 (56%) patients were male. Among 95 patients, 55 (58%) had focal seizures, 36 (38%) had generalized tonic-clonic seizures and 4 (4%) had convulsive status epilepticus. The frequency of focal interictal epileptiform activity was 32.6% patients. Seizures were responsive to treatment administered as monotherapy in 81 (85%) patients and as politherapy in 14 (15%) patients. Our study showed that cerebrovascular disease was the most common (63%) etiological cause identified. There was no significant relationship between age and frequency of seizures and EEG abnormalities. However, a significant correlation was found between age and comorbidities. Conclusion:Our results supported the focal seizure is the most common manifestation of epilepsy in the elderly. Cerebrovascular disease is the most common etiological cause of epilepsy in the elderly. Monotherapy is sufficient in the majority of patients. Continuous growth of the elderly population is increasing the need for accurate diagnosis and effective treatment. (Turkish Journal of Neurology 2015; 21:62-7)

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Clinical Features of Late-onset Poststroke Seizures

Cited by 34 publications

References 12 publications

Predictors of seizures in patients with posterior reversible encephalopathy syndrome

Predictors of seizures in patients with posterior reversible encephalopathy syndrome

Early and Late Onset Seizures After Cerebrovascular Disease

Epilepsy in the elderly

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