Journals / Türk Nöroloji Dergisi / 2018 / Cilt: 24 - Sayı: 1

Early Seizures After Stroke: Neurology Intensive Care Unit Experience

İnme Sonrası Erken Başlangıçlı Nöbetler: Nöroloji Yoğun Bakım Ünitesi Deneyimi

Pages
49–54
Publication Date
2022-11-04
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Determination of effective factors in early seizures is important for its early diagnosis and treatment

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to investigate the frequency of early seizures, the affecting factors, and the prognostic effect of seizures in patients with acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and sinus venous thrombosis (SVT) examined in the intensive care unit (ICU).
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Key Findings & Data:Materials and Methods: In the neurology ICU, the records of patients followed up with AIS, ICH, and SVT within a defined time period were retrospectively examined.Results: Early seizures occurred in 48 out of 199 patients who were followed up with AIS, ICH, and SVT in the neurology ICU within the specified time period.
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Conclusion & Impact:Determination of effective factors in early seizures is important for its early diagnosis and treatment
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to investigate the frequency of early seizures, the affecting factors, and the prognostic effect of seizures in patients with acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and sinus venous thrombosis (SVT) examined in the intensive care unit (ICU). Materials and Methods: In the neurology ICU, the records of patients followed up with AIS, ICH, and SVT within a defined time period were retrospectively examined.Results: Early seizures occurred in 48 out of 199 patients who were followed up with AIS, ICH, and SVT in the neurology ICU within the specified time period. The frequency of having early seizures was found to be higher in patients with left hemisphere lesions, cortical lesions, and those with AIS with hemorrhagic transformation. Lesion volume was found to be higher in patients with AIS who had early seizures compared with those who had AIS without seizures. Early seizures were observed in all patients with SVT who were followed up in the ICU.Conclusion: Early seizures are a common complication in patients with stroke followed up in neurology ICUs. Determination of effective factors in early seizures is important for its early diagnosis and treatment

Özet

Amaç: Bu çalışmanın amacı akut iskemik inme (Aİİ), intraserebral hemoraji (İSH) ve sinüs ven trombozu (SVT) nedeni ile yoğun bakım ünitesinde (YBÜ) takip edilen hastalarda erken başlangıçlı nöbet geçirme sıklığını, bunda etkili faktörleri ve nöbetin prognoza etkisini araştırmaktır.Gereç ve Yöntem: Nöroloji YBÜ'de, belirlenen zaman dilimi içerisinde Aİİ, İSH ve SVT tanısı ile takip edilen hasta kayıtları retrospektif olarak incelenmiştir.Bulgular: Belirlenen zaman dilimi içerinde nöroloji YBÜ'de Aİİ, İSH ve SVT tanısı ile takip edilen 199 hastadan 48'inde erken başlangıçlı nöbet ortaya çıkmıştır. erken başlangıçlı nöbet geçirme sıklığı sol hemisfer lezyonu, kortikal lezyon ve hemorajik transformasyonu olan Aİİ'li hastalarda daha yüksek bulunmuştur. erken başlangıçlı nöbet geçiren Aİİ'li hastalarda lezyon volümü nöbeti olmayan Aİİ'li hastalara göre yüksek bulunmuştur. YBÜ'de takip edilen SVT'li bireylerin tamamında erken başlangıçlı nöbet gözlemlenmiştir.Sonuç: Nöroloji YBÜ'de takip edilen inme hastalarında erken başlangıçlı nöbet sık görülen bir komplikasyondur. Erken başlangıçlı nöbetde etkili faktörlerin tespiti erken tanı ve tedavi için önemlidir

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Cite This Article

VURAL, G., GÜMÜŞYAYLA, Ş. (2022). Early Seizures After Stroke: Neurology Intensive Care Unit Experience. Türk Nöroloji Dergisi, Cilt: 24 - Sayı: 1, 49–54. https://ajindex.com/articles/636749

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References (17)

  1. Cerebrovascular disorders. A clinical and research classification. Geneva: WHO 1978. Available from: http://apps.who.int/iris/bitstream/10665/37194/1/ WHO_OFFSET_43.pdf 2. Balkan S. Serebrovasküler Hastalıklar. Güneş Kitabevi Yayınları 2002
  2. Hashmi M, Wasay M. Caring for cerebral venous sinus thrombosis in children. J Emerg Trauma Shock 2011
  3. Silverman IE, Restrepo L, Mathews GC. Poststroke seizures. Arch Neurol 2002
  4. Balami JS, Chen RL, Grunwald IQ, Buchan AM. Neurological complications of acute ischemic stroke. Lancet Neurol 2011
  5. Balami JS, Buchan AM. Complications of intracerebral haemorrhage. Lancet Neurol 2012
  6. Kutlu G, Gomceli YB, Unal Y, Inan LE. Levetiracetam monotherapy for late poststroke seizures in the elderly. Epilepsy Behav 2008
  7. Shinton RA, Gill JS, Melnick SC, Gupta AK, Beevers DG. The frequency, characteristics and prognosis of epileptic seizures at the onset of stroke. J Neurol Neurosurg Psychiatry 1988
  8. Conrad J, Pawlowski M, Dogan M, Kovac S, Ritter MA, Evers S. Seizures after cerebrovascular events: risk factors and clinical features. Seizure 2013
  9. Göksu EÖ, Genç F, Yüksel B, Gencer ES, Erdal A, Gömceli YB. İnme Sonrası Epilepside Nöbetlerin Klinik Özellikleri, Prognoz ve Tedavisi Epilepsi 2015
  10. Ferro JM, Correia M, Rosas MJ, Pinto AN, Neves G
  11. Cerebral Venous Thrombosis Portuguese Collaborative Study Group[Venoport]. Seizures in cerebral vein and dural sinus thrombosis. Cerebrovasc Dis 2003
  12. Bann HJ. Ischemia and lesion induced imbalances in cortical function. Prog Neurobiol 1996
  13. Heiss WD, Huber M, Fink GR, Herholz K, Pietrzyk U, Wagner R, Wienhard K. Progressive derangement of periinfarct viable tissue in ischemic stroke. J Cereb Blood Flow Metab 1992
  14. Wang G, Jia H, Chen C, Lang S, Liu X, Xia C, Sun Y, Zhang J. Analysis of risk factors for first seizure after stroke in Chinese patients. Biomed Res Int 2013
  15. 702871. 15. Kammersgaard LP, Olsen TS. Poststroke epilepsy in the Copenhagen stroke study: incidence and predictors. J Stroke Cerebrovasc Dis 2005
  16. Butzkueven H, Evans AH, Pitman A, Leopold C, Jolley DJ, Kaye AH, Kilpatrick CJ, Davis SM. Onset seizures independently predict poor outcome after subarachnoid hemorrhage. Neurology 2000
  17. Sung CY, Chu NS. Epileptic seizures in intracerebral haemorrhage. J Neurol Neurosurg Psychiatry 1