ISSN: 1859 - 2872
Clinical, subclinical characteristics and factors related to post-stroke epilepsy
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Abstract
Objective: To describe clinical and paraclinical characteristics and some factors related to late epilepsy of supratentorial stroke. Subject and method: A prospective study of 1061 patients with supratentorial stroke at 108 Military Central Hospital and Phu Tho Provincial General Hospital from 2018 - 2022. Clinical, paraclinical examination and disease monitoring. The patient was discharged from the hospital until January 2023. Result: There were 41/1061 patients with late seizures, of which 40 (97.7%) had motor seizures and 23 (56.1%) patients had generalized seizures. Average age was 63.8 ± 10.9 years old, men accounted for 73.2%. Average Glasgow score 14 ± 1.9, average NIHSS score 6.7 ± 4.8. CT and MRI images recorded 48.8% of damage in the right hemisphere, of which 51.2% had damage to the subcortical areas, most commonly in the parietal lobes. 85.4% were cerebral infarcts and 63.4% were in the blood supply area of the cerebral artery. Video electroencephalograph detected abnormalities in 10/41 (24.4%) cases, mainly sharp waves. The most common lobes were the parietal and temporal lobes, accounting for 9/41 (22%). Factors related to late seizures were advanced age, history of cardiac arrhythmia, history of previous cerebral infarction, and damage to an area of blood supply artery. Conclusion: Late post-stroke epilepsy starts with motor seizures and generalized epilepsy. Related factors include advanced age, history of arrhythmia, and previous ischemic stroke.
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References
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