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Seizures and epilepsy in patients with a posterior circulation infarct

机译:后循环梗塞患者的癫痫发作和癫痫

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摘要

Seizures occur mainly in patients with cortical infarcts in the anterior circulation. Those related to a posterior circulation infarct (POCI) are considered rare. This study investigated the characteristics of patients with seizures related to a POCI. A total of 180 consecutive patients admitted with a POCI had a 2- to 7-year follow-up; 24 of them (13.6%) developed seizures. Vascular risk factors, etiology and extension of the infarct, degree of neurologic impairment, and outcome were compared in the patients with and without seizures. Complex partial type seizure was the most common presentation. Stroke characteristics were largely the same in the patients with and without seizures. History of a previous stroke was noted in 62.5% of the seizure group and in 17.9% of the nonseizure group (P < .001). Clinical outcome was worse in the seizure group (P = .004). The relative incidence of seizures in patients with a POCI was not lower than that in the overall stroke population. The high incidence of recurrent stroke is the main risk factor for seizures in patients with a POCI. The seizures themselves are responsible for the increased dependence rate.
机译:癫痫发作主要发生在前循环皮质梗死患者中。与后循环梗塞(POCI)有关的那些被认为是罕见的。这项研究调查了与POCI相关的癫痫发作患者的特征。总共180例接受POCI的连续患者进行了2至7年的随访。其中24例(13.6%)发展为癫痫发作。比较有无癫痫发作的患者的血管危险因素,梗死的病因和扩展,神经系统损害的程度以及结局。复杂的部分性癫痫发作是最常见的表现。有和没有癫痫发作的患者的中风特征基本相同。在癫痫发作组中有62.5%和在非癫痫发作组中有17.9%记录了以前的中风史(P <.001)。癫痫发作组的临床结果较差(P = .004)。 POCI患者癫痫发作的相对发生率不低于总卒中人群。复发性中风的高发是POCI患者癫痫发作的主要危险因素。癫痫发作本身是导致依赖性增加的原因。

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