Cobalt-55 positron emission tomography in late-onset epileptic seizures after thrombo-embolic middle cerebral artery infarction

Reuck, Jacques De; Vonck, Kristl; Santens, Patrick; Boon, Paul; Bleecker, Jan De; Strijckmans, Karel; Lemahieu, Ignace

doi:10.1016/s0022-510x(00)00382-8

Cited by 24 publications

(48 citation statements)

References 34 publications

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“…This is partly due to the fact that they mainly occur in patients with infarcts of irregular size and with residual zones of partial destruction [30, 31]. This appears more frequently in infarcts located in an arterial end-zone distribution than in those located in the more proximal territory of the middle cerebral artery.…”

Section: Discussionmentioning

confidence: 99%

The Cortical Involvement of Territorial Infarcts as a Risk Factor for Stroke-Related Seizures

et al. 2007

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Background: The cortical involvement of territorial infarcts is considered to be a significant risk factor for the development of early- as well as late-onset seizures. However, it is not known which cortical regions are more susceptible to the development of stroke-related seizures. Patients and Methods: In this retrospective study of 687 patients with territorial infarcts, 184 with stroke-related seizures were compared to 503 without seizures. The extent and the location of the infarcts were determined by computed tomography (CT) scans and/or magnetic resonance imaging (MRI) scans of the brain. The infarcts of the seizure and the non-seizure group were compared on digital cerebral vascular maps by superimposing the CT and/or MRI slices. Results: In patients with late-onset seizures, the infarcts were significantly more frequent in the temporal and parietal branches of the middle cerebral artery in comparison to the non-seizure group. In patients with early-onset seizures and in those with seizures due to a recurrent stroke, the territory of the temporal and occipital branches of the middle cerebral artery was the predilection side of the infarcts. Generalized tonic-clonic seizures occurred mainly in cases of infarction in the deep territory of the middle cerebral and of the anterior choroidal artery. Status epilepticus was significantly correlated with infarcts in the posterior temporal region. Conclusion: Some infarct regions are the sides of predilection for stroke-related seizures according to their type and their onset-time.

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Section: Discussionmentioning

confidence: 99%

The Cortical Involvement of Territorial Infarcts as a Risk Factor for Stroke-Related Seizures

et al. 2007

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“…Most late-onset seizures occur between 6 and 24 months after stroke, but still a significant number of them appear more lately [7]. Also, some late-onset seizures are the clinical expression of a new stroke, mainly in patients with a cardiac-embolic source [8,9].…”

Section: Introductionmentioning

confidence: 99%

Single seizure and epilepsy in patients with a cerebral territorial infarct

Reuck

Groote

Maele

2008

Journal of the Neurological Sciences

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“…This is due to the fact that some seizures are due to recurrent strokes and, on the other hand, that the seizures themselves can induce cytotoxic edema, leading to additional permanent ischemic damage [10, 21]. The main conclusion of the present study is that SE increases even more the disability of stroke patients than OS.…”

Section: Discussionmentioning

confidence: 73%

Status Epilepticus in Stroke Patients

Reuck¹,

Maele

2009

Eur Neurol

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Background: Status epilepticus (SE) is a life-threatening condition that occurs in only 1.5% of the overall stroke population but in more than 10% of patients with stroke-related seizures. This retrospective study compares the characteristics of stroke patients with SE to those with ordinary seizures (OS). Patients and Methods: The demographic features, vascular risk factors, stroke type and etiology, stroke severity (according to the National Institute of Health Stroke scale) and disability (according to the modified Rankin scale), seizure type and onset, and post-ictal EEG findings were compared between 33 patients with SE and 288 with OS. SE was defined as a >30 min of either continuous seizure activity or multiple seizures without regaining consciousness. Results: Patients with SE had more severe strokes and a worse outcome. Demographic features and stroke etiology were similar in both groups. Chronic obstructive pulmonary disease was only observed as a risk factor in patients with OS. There was a non-statistical trend that SE occurred more frequently at stroke onset. Seizure recurrence was the same in both groups. Post-ictal EEG was always abnormal in the SE patients and normal in 30% of the OS group. Conclusions: SE occurs mainly in patients with a severe stroke and with severe disability. Patients with a severe stroke are probably more at risk of early-onset SE.

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Cobalt-55 positron emission tomography in late-onset epileptic seizures after thrombo-embolic middle cerebral artery infarction

Cited by 24 publications

References 34 publications

The Cortical Involvement of Territorial Infarcts as a Risk Factor for Stroke-Related Seizures

The Cortical Involvement of Territorial Infarcts as a Risk Factor for Stroke-Related Seizures

Single seizure and epilepsy in patients with a cerebral territorial infarct

Status Epilepticus in Stroke Patients

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