Navegando por Palavras-chave "epileptic seizure"
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- ItemAcesso aberto (Open Access)Características das crises epilépticas após acidente vascular cerebral isquêmico(Academia Brasileira de Neurologia - ABNEURO, 1997-01-01) Fukujima, Marcia Maiumi [UNIFESP]; Cardeal, Jose Osmar [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Cerebral infarctions are one of the most important causes of late onset epilepsy. We have studied 35 patients who presented epileptic seizures after ischemic stroke. All of them had the first seizure at least 24 hours after the stroke, and they had at least one recurrence of seizure. The objective was to determine the main characteristics of these seizures and to correlate them to clinical and laboratorial findings. The interval between the stroke and the first seizure was 3 to 1650 days. Late onset seizures (>14 days) were present in 89%, they occurred predominantly 6 to 12 months after stroke. Partial seizures (31/35) were more frequent than generalized ones. Status epilepticus occurred in only 3 cases. Most of the patients (30/35) had occasional seizures (<, 1 seizure monthly). There were no association between seizure type and the time interval between the stroke and the first seizure, neither with the seizure frequency. The most frequent EEG finding was focal slowing oi cerebral activity. Pharmacological control was easily obtained. No patient needed more than one drug for seizure control.
- ItemAcesso aberto (Open Access)Estudo de fatores clínicos preditivos para crises epilépticas após acidente vascular cerebral isquêmico(Academia Brasileira de Neurologia - ABNEURO, 1996-06-01) Fukujima, Marcia Maiumi [UNIFESP]; Cardeal, Jose Osmar [UNIFESP]; Lima, Jose Geraldo de Camargo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Preditive clinical factors for epileptic seizures after ischemic stroke. Clinical features of 35 patients with ischemic stroke who developed epilepsy (Group 1) were compared with those of 35 patients with ischemic stroke without epilepsy (Group 2). The age of the patients did not differ between the groups. There were more men than women and more white than other races in both groups. Diabetes melitus, hypertension, transient ischemic attack, previous stroke, migraine, Chagas disease, cerebral embolism of cardiac origin and use of oral contraceptive did not differ between the groups. Smokers and alcohol users were more frequent in Group 1 (p<0,05). Most patients of Group 1 presented with hemiparesis; none presented cerebellar or brainstem involvement. Perhaps strokes in smokers have some different aspects, that let them more epileptogenic than in non smokers.