Epileptic seizures in patients with stroke
https://doi.org/10.14412/2074-2711-2026-1-99-105
Abstract
Approximately 10 % of patients develop post-stroke epilepsy after stroke. Given the significant burden of stroke worldwide, post-stroke epilepsy is considered a serious problem for survivors. Post-stroke epilepsy is a major factor determining stroke prognosis and is associated with a high risk of mortality, adverse outcomes, and increased length of hospitalisation. Both early seizures occurring within the first 7 days after stroke onset and late seizures occurring more than 7 days after stroke onset are independent predictors of post-stroke epilepsy. The pathophysiological mechanisms underlying early and late seizures are different. The occurrence of post-stroke seizures is associated with a number of factors, including the type of stroke (ischemic or haemorrhagic), the location and size of the lesion, the severity of the disease, etc. Prognostic models help to assess the risk of epileptogenesis in patients after a stroke. The effectiveness of antiepileptic drugs in post-stroke epilepsy is higher than in other causes of focal epilepsy.
Keywords
Supporting agencies: The investigation has not been sponsored
About the Authors
N. V. Pizova
Yaroslavl State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Natalia Vyacheslavovna Pizova
Department of Nervous Diseases with Medical Genetics and Neurosurgery
150000; 5, Revolitzionnaya St.; Yaroslavl
Competing Interests:
There are no conflicts of interest
A. V. Pizov
Yaroslavl State Pedagogical University named after K.D. Ushinsky
Russian Federation
Competing Interests:
Russian Federation
Department of Methods of Teaching Natural Sciences and Mathematics in Primary Schools
150000; 108/1, Respublikanskaya St.; Yaroslavl
Competing Interests:
There are no conflicts of interest
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For citations:
Pizova NV, Pizov AV. Epileptic seizures in patients with stroke. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2026;18(1):99-105. (In Russ.) https://doi.org/10.14412/2074-2711-2026-1-99-105
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