ABSTRACT

This study was performed to determine the clinical features and types of treatment that affect the onset of seizures and prognosis in 188 patients with post-stroke seizures who were followed in Department of Neurology of Çukurova University Faculty of Medicine.

In this retrospective study, archive files of 1789 patients diagnosed with acute cerebrovascular disease admitted to Department of Neurology of Çukurova University Faculty of Medicine between 1.1.2000 - 31.12.2010 were scanned and 188 patients who had seizures after stroke were included in the study. Patient history, demographic characteristics, neurological findings, etiology of stroke, stroke localization according MRI or CTI, age at stroke, stroke type, seizure onset date, type of anti-epileptic treatment and prognostic features were re-examined and evaluated.a

91 (48.4%) patients had early-onset seizures (first 15 days after stroke) , 97 (51.6%) had late-onset seizures (16th day and after). 172 (91.4%) patients had cortical involvement. 166 (88.2%) patients were treated with monotherapy, 22 (11.8%) patients had politherapy; seizures were full or partial controlled with monotherapy.

Late-onset seizures after stroke arise more frequently than early-onset seizures and patients with poststroke epilepsy patients are often treated with monotherapy.

Keywords: Epilepsy, stroke, seizure, prognosis