Lancman et al identified risk factors for a patient having seizures following a stroke. These can help to identify a patient who may require closer monitoring. The authors are from Hospital Italiano in Buenos Aires.
Patient selection: ischemic or hemorrhagic stroke
Exclusions: history of seizures, subdural or subararchnoid or epidural hemorrhage, TIAs
Time of seizure onset:
(1) early: < 1 month after the stroke
(2) late: >= 1 month after the stroke.
Risk factors for seizures:
(1) hemorrhagic stroke
(2) cortical lesions
(3) lesions involving more than 1 lobe
Most patients had a single seizure, with seizure recurrence seen in 27% of patients.
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