Computed tomographic changes of the brain and clinical outcome of patients with seizures and epilepsy after an ischaemic hemispheric stroke

European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies
J De ReuckH Hallez

Abstract

It is not well established whether seizures and epilepsy after an ischaemic stroke increase the disability of patients. Seventy-two patients with delayed seizures after a hemispheric infarct (37 with a single seizure and 35 with epilepsy) were included in the study. The modified Rankin scale was used to compare disability of the patients at 1 month after stroke and at 2 weeks after single or the last seizure, in case of epilepsy. The size of the X-ray hypoattenuation zone was compared on computed tomographic (CT) scans, performed in the weeks after the stroke and 1 week after single or repeated seizures. Lesion size was determined by superimposing the CT slices on digital cerebral vascular maps, on which the contours of the infarct area were delineated. The extent of the infarcts was expressed as the percentage fraction of the total surface area of the cerebral hemisphere. Groups with a single seizure and with epilepsy were mutually compared. Infarcts predominated in the parieto-temporal cortical regions. In the overall group the median Rankin score worsened significantly after seizures. The average size of the X-ray hypoattenuation zone was also significantly increased on the CT scans after the seizures, compared with those af...Continue Reading

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Citations

Feb 19, 2009·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J De Reuck, G Van Maele
May 17, 2007·Epilepsy Currents·Jorge G Burneo
Feb 3, 2007·Cerebrovascular Diseases·J De ReuckI Claeys
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May 25, 2010·Neurologia i neurochirurgia polska·Jacques De ReuckGeorges Van Maele
Sep 14, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Jacques L De Reuck, Georges Van Maele
Feb 6, 2010·Clinical Neurology and Neurosurgery·Jacques De Reuck, Georges Van Maele
May 23, 2008·Journal of the Neurological Sciences·Jacques De ReuckGeorges Van Maele
Apr 4, 2008·Seminars in Ultrasound, CT, and MR·Ana RamosPatricia Martin
Jul 6, 2007·Journal of the Neurological Sciences·J De ReuckG Van Maele
May 19, 2007·Clinical Neurology and Neurosurgery·Jacques De ReuckGeorges Van Maele
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Dec 1, 2005·Clinical Neurology and Neurosurgery·Jacques De ReuckGeorges Van Maele
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Apr 14, 2016·CoDAS·Aline Mansueto MourãoAntonio Lúcio Teixeira
May 13, 2017·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·C BentesJ M Ferro

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