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.
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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 If this is done, the antiepileptic drug should be withdrawn soon after the acute phase, as the long-term risk for manifestation of an unprovoked seizure is approximately 30%.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.