Deans' stroke musings: Epileptic seizures and epilepsy after a stroke. Incidence, prevention and treatment

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, February 21, 2018

Epileptic seizures and epilepsy after a stroke. Incidence, prevention and treatment

You had better hope your doctor knows about this and how to prevent it. Luckily I didn't have this. Other research points to a 10-40% incidence rate for survivors.
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=I243881&phrase=no&rec=243881&article_source=CIRRIE&international=1&international_language=&international_location=
Epileptische Anfälle und Epilepsie nach einem Schlaganfall Inzidenz, Prävention und Behandlung. Der Nervenarzt , Volume 88(10) , Pgs. 1197-1207.

NARIC Accession Number: I243881. What's this?
Author(s): F. Benninger; M. Holtkamp.
Publication Year: 2017.
Abstract: This article discusses the incidence, prevention, and treatment of epileptic seizures following stroke. Following stroke, 3–6% of patients develop acute symptomatic seizures within the first 7 days. The rate is higher after cerebral hemorrhage compared to ischemia. In 10–12% of patients, after more than 7 days, unprovoked seizures occur. Due to these low incidence rates, primary prophylaxis with antiepileptic drugs is generally not necessary. Following one acute symptomatic seizure, recurrence risk within the first 7 days post-stroke is 10–20%, generally arguing against secondary prophylaxis with an antiepileptic drug. In clinical practice however, antiepileptic drug treatment in this scenario is often initiated. If this is done, the antiepileptic drug should be withdrawn soon after the acute phase, as the long-term risk for manifestation of an unprovoked seizure is approximately 30%. Following one post-stroke unprovoked seizure, recurrence risk within the next 10 years is more than 70%; this defines epilepsy. In this case, antiepileptic drug treatment is regularly recommended.
Descriptor Terms: Epilepsy, Medical treatment, Prevention, Stroke.
Language: German
Geographic Location(s): Europe, Germany.

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Get this Document: https://dx.doi.org/10.1007/s00115-017-0358-3.

Citation: F. Benninger, M. Holtkamp. (2017). Epileptic seizures and epilepsy after a stroke. Incidence, prevention and treatment. Epileptische Anfälle und Epilepsie nach einem Schlaganfall Inzidenz, Prävention und Behandlung. Der Nervenarzt , 88(10), Pgs. 1197-1207. Retrieved 2/21/2018, from REHABDATA database.