Post-stroke seizures

Evidence-based neurology checklist on post-stroke seizures: Demographic features Seizures occur in up to 5% of ischaemic strokes A third occur in the first 24 hours Risk factors Risk factors for recurrence Risk predictors: the SeLECT score Prophylaxis

Demographic features

  • Seizures occur in up to 5% of ischaemic strokes
  • A third occur in the first 24 hours

Risk factors

Risk factors for recurrence

Risk predictors: the SeLECT score

Prophylaxis

References

  1. 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. 
  2. Zelano J, Larsson D, Kumlien E, Åsberg S. Pre-stroke seizures: a nationwide register-based investigation. Seizure 2017; 49:25-29. 
  3. 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. 
  4. Leung T, Leung H, Soo YO, Mok VC, Wong KS. The prognosis of acute symptomatic seizures after ischaemic stroke. JNNP 2017; 88:86-94. 
  5. 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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