The Progress of Poststroke Seizures

Xie, Cong; Zhao, Wei; Zhang, Xu; Liu, Ju; Liu, Jinzhi; Xia, Zhangyong

doi:10.1007/s11064-023-04079-4

Cited by 1 publication

(1 citation statement)

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“…3%-30% of patients after stroke may develop post-stroke epilepsy. Several studies have reported that the changes after stroke, including critically decreased regional blood flow, a low regional cerebral metabolic rate for oxygen, and increased blood-brain barrier permeability made the brain prone to seizures[ 13 , 14 ]. Zhao et al [ 14 ] found that large infarction and frontal and temporal cortex lesions are significant risk factors for post-stroke seizures.…”

Section: Discussionmentioning

confidence: 99%

Temporal lobe malacia as a rare cause of gelastic seizure: A case report

Liao,

Gao,

Lin

et al. 2024

World J Clin Cases

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BACKGROUND Gelastic seizure (GS) is a rare type of epilepsy that most commonly appears in patients with hypothalamic hamartoma. It is rarely associated with other types of brain damage. This particular type of epilepsy is relatively rare and has few links to other brain lesions. Temporal lobe malacia is mostly caused by cerebral infarction or cerebral hemorrhage, which can lead to seizures. We report a case of GS in a woman with temporal lobe malacia which was reported for the first time in the literature. CASE SUMMARY A 73-year-old female, diagnosed case of GS, presented with repetitive stereotyped laughter a month prior to presentation, happening multiple times daily and with each time lasting for 5-15s. Electroencephalogram displayed a focal seizure seen in the right temporal region. Magnetic resonance imaging head with contrast showed a right temporal lobe malacia. The patient was started on levetiracetam daily. The patient indicated that they had fully recovered and were not experiencing any recurrent or stereotyped laughter during their daily routines. These results remained consistent even after a one-year follow-up period. CONCLUSION GS can be caused by temporal lobe malacia, which is an uncommon but potentially grave condition. The outcome of this present case exhibited the importance of the temporal lobe in the genesis of GS.

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Section: Discussionmentioning

confidence: 99%