Epilepsy as part of paroxysmal disorders after ischaemic stroke
- Authors: Maksimova M.Y.1, Brutian A.G.1, Shalimanova E.V.1
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Affiliations:
- Research Center of Neurology
- Issue: Vol 14, No 3 (2020)
- Pages: 11-20
- Section: Original articles
- Submitted: 14.09.2020
- Published: 14.09.2020
- URL: https://annaly-nevrologii.com/journal/pathID/article/view/678
- DOI: https://doi.org/0.25692/ACEN.2020.3.2
- ID: 678
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Full Text
Abstract
Introduction. Epilepsy is a common cause of paroxysmal disorders appearing after ischaemic stroke.
The aim of the study was to clarify the clinical, neuroimaging, and neurophysiological features of post-stroke epilepsy (PSE).
Materials and methods. We examined 17 (81%) men and 4 (19%) women aged 25–89 years with paroxysmal disorders after ischaemic stroke. Fourteen (66.7%) patients were diagnosed with PSE, while 7 (33.3%) had non-epileptic paroxysmal disorders (NEPD). We conducted a comparative assessment of the groups, considering the clinical, neuroimaging, and 10-hour night-time video-EEG monitoring data.
Results. In patients with PSE, 64.8% of cases had total damage of the insular lobe, and infarcts more often included the cerebral cortex (100%) and white matter, as well as the basal nuclei and other deep brain structures. The EEG recorded epileptiform activity and/or hemispheric slowing on the side of the infarction (64.3%). In patients with NEPD, the infarct was more often located in the vertebrobasilar artery territory, and the paroxysmal disorders were recurrent.
Conclusion. Differential diagnosis of post-stroke paroxysmal disorders is based on the analysis of their clinical signs and medical history. In some cases, data from long-term video EEG monitoring are crucial for the diagnosis of PSE.
Keywords
About the authors
Marina Yu. Maksimova
Research Center of Neurology
Author for correspondence.
Email: ncnmaximova@mail.ru
Russian Federation, Moscow
Amayak G. Brutian
Research Center of Neurology
Email: ncnmaximova@mail.ru
Russian Federation, Moscow
Elena V. Shalimanova
Research Center of Neurology
Email: ncnmaximova@mail.ru
Russian Federation, Moscow
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