Systematic prolonged video-electroencephalograms identify electrographic seizures in 5% of acute stroke patients with aphasia |
| |
Institution: | 1. Division of Neurology, \"Franz Tappeiner\" Hospital, Merano, Italy;2. Department of Neuroscience, Biomedicine and Movement Science, University of Verona, Verona, Italy;3. Department of Neurology, Saarland University Medical Center, Homburg, Germany;4. Institute of Medical Biometry, Epidemiology and Medical Informatics, Saarland University Medical Center, Homburg, Germany |
| |
Abstract: | In stroke units, diagnosing seizures may be difficult, especially in aphasic patients. We discuss herein our systematic 4-hour video EEG monitoring of 61 patients with aphasia within the first 72 hours after the onset of ischaemic stroke. Five electrographic seizures were identified in 3 patients, with no clinical signs apparent on the video and no symptoms reported by patients. We did not record status epilepticus nor generalized seizure. Comparative analyses disclosed a higher risk of early seizures in patients with haemorrhagic transformation. Video EEG monitoring detected electrographic seizures in 5% of stroke patients with aphasia. This monitoring could be useful for selected patients, especially those with haemorrhagic transformation. |
| |
Keywords: | Aphasia Epilepsy Ischemic stroke Early seizure EEG |
本文献已被 ScienceDirect 等数据库收录! |
|