Cerebral embolism and epileptic seizures--the role of the embolic source.

Abstract:

OBJECTIVES:To study the clinical outcome of patients with epileptic seizures due to ischemic stroke (IS) of cardiac or artery-to-artery embolism. METHODS:Seizures due to IS of cardiac or artery-to-artery embolism are differentiated by clinical, neuroimaging and cardiovascular test data. RESULTS:From 174 cases with supratentorial IS, 13 patients suffered from epileptic seizures due to cardiac embolism, 11 patients due to artery-to-artery embolism. The patients with cardiac IS showed an equal sex distribution and EEG abnormalities in 6 patients, the initial seizure occurred on average after 222 days (SD, +/-69 days). Among the 11 patients with artery-to-artery embolic IS, there were 9 males and 2 females and EEG abnormalities in 10 patients. The initial seizure occurred on average after 447 days (SD, +/-177 days). CONCLUSION:In seizures due to artery-to-artery embolism, there is a male preponderance and a higher incidence of EEG abnormalities, symptomatic seizures appear later compared to IS due to cardiac embolism.

journal_name

Acta Neurol Scand

authors

Kraus JA,Berlit P

doi

10.1111/j.1600-0404.1998.tb00629.x

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

154-9

issue

3

eissn

0001-6314

issn

1600-0404

journal_volume

97

pub_type

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