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. 1988 Feb;51(2):273-6.
doi: 10.1136/jnnp.51.2.273.

The frequency, characteristics and prognosis of epileptic seizures at the onset of stroke

R A Shinton  1 , J S Gill, S C Melnick, A K Gupta, D G Beevers
Affiliations

The frequency, characteristics and prognosis of epileptic seizures at the onset of stroke

R A Shinton et al. J Neurol Neurosurg Psychiatry. 1988 Feb.

Abstract

In a series of 230 patients admitted to hospital with a stroke, the frequency and significance of epileptic seizures at onset was assessed. Thirteen (5.7%) suffered single or multiple witnessed seizures at the onset of their stroke. Seizures were evenly distributed among all pathological stroke sub-types but were restricted to lesions in the carotid artery territory. They indicated a poorer prognosis over the first 2 days. Six of the 13 presenting with stroke and seizures had prior seizures and, if they survived, continued to have fits. The five patients surviving with stroke and a first seizure were all fit-free after 30 months follow-up.

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