Tuesday, October 22, 2019

Clinical features of poststroke epileptic seizures

I doubt anything useful came out of this, survivors don't need what those features are, they need to prevent seizures. WHEN THE HELL WILL YOU PROVIDE THAT?

Clinical features of poststroke epileptic seizures

Клинические особенности постинсультных эпилептических припадков.  Neurology, Neuropsychiatry, Psychosomatics , Volume 7(1S) , Pgs. 47-53.

NARIC Accession Number: I245666.  What's this?
Author(s): Danilova T.V.
Publication Year: 2015.
Abstract: The objective of this study was to explore the clinical features of epileptic seizures in stroke, risk factors for their development to form the bases for prediction, and elaboration of optimal therapy. Poststroke epileptic seizures are detected in  over 60 years of age. For the study, 468 patients with ischemic stroke were examined. A study group included 265 patients (176 men and 89 women) aged 31–89 years with epileptic seizures, while a control group comprised 203 non-epileptic patients (126 men and 77 women) aged 31–91 years. The patients of both groups were matched for age, clinical characteristics, and pathogenetic subtypes of stroke. Instrumental examinations were performed in the attack-free interval. Neurological status was evaluated using conventional procedure (the National Institute of Health Stroke Scale); brain magnetic resonance imaging (MRI), magnetic resonance angiography, electroencephalography, extra- and transcranial duplex sound of cerebral vessels, by estimating the level and degree of stenosis and cerebrovascular responsiveness. Focal seizures were noted to develop more frequently with a preponderance of simple partial seizures within the first 7 days of stroke, with neurological worsening in the acute period of the disease. Stroke in the left carotid and vertebrobasilar beds may provoke the development of early seizures. The cortical localization of ischemic foci and pre-stroke chronic brain ischemia with the signs of circulatory comorbidity in the anterior and posterior circulatory systems may be a risk factor of epileptic seizures. There was an association of the type of epileptic seizure and the size of ischemic focus, as evidenced by MRI, with a tendency towards the generalization of seizures in the extensive ischemic foci. A tendency toward the generalization of epileptic seizures was established in the development of stroke in the left carotid bed, as well as in critical stenoses and occlusions of the great cerebral vessels.
Descriptor Terms: Epilepsy, Risk factors, Stroke, Therapy.
Language: Russian
Geographic Location(s): Europe, Russia.

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Citation: Danilova T.V. (2015). Clinical features of poststroke epileptic seizures.  Клинические особенности постинсультных эпилептических припадков.  Neurology, Neuropsychiatry, Psychosomatics , 7(1S), Pgs. 47-53. Retrieved 10/22/2019, from REHABDATA database.

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