@article{10.11648/j.cnn.20200403.15,
  author = {Sounga Bandzouzi Prince Eliot Galieni and Mpandzou Ghislain Armel and Ebelebe Evence Vital and Sounga Dufeil and Mialoudama Karl and Motoula Latou Dina Happhia and Diatewa Josue and Matali Edgard and Obondzo Aloba Karen and Koubemba Godefroy Charles and Ossou-Nguiet Paul Macaire},
  title = {Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {3},
  pages = {66-70},
  doi = {10.11648/j.cnn.20200403.15},
  url = {https://doi.org/10.11648/j.cnn.20200403.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200403.15},
  abstract = {Epilepsy and cerebrovascular accident (stroke) are two common conditions in neurology, the frequency of which increases with age. One of the most common comorbidities after a stroke is epilepsy; nearly 10% of stroke patients will have a seizure immediately or later. The aim of study was to describe the epidemiological, clinical, electrical and evolutionary aspects of post-stroke crises at the Brazzaville University Hospital. This was a cross-sectional study carried out from March 1 to September 30, 2018 in the neurology department of the University Hospital of Brazzaville. It focused on patients over 18 years of age hospitalized for a seizure following a stroke documented by imaging. The epidemiological, electroclinical and therapeutic variables were evaluated. 322 patients hospitalized for stroke, 62 (15.5%) presented with seizures following the vascular event. Men were more affected (57%). The median time to onset of seizures was 2478 days (6.8 years) after stroke. These attacks were early in 69.4% of cases, and most often focal (37.1%). The epileptic seizures were related to the arterial infarctions in 79% of the cases and the abnormalities found on the EEG tracing were consistent with the location of the vascular lesion in 63.6% of the cases. The death rate was 14.5%. The predictive factors of this mortality were: the late onset of epileptic seizures (p=0.048), the presence of hyperglycemia (p=0.006) and the absence of a return to a normal state of consciousness (p<0.001). Post-stroke epileptic seizures are frequent in our region. Secondary prevention of stroke would help reduce the occurrence of strokes and therefore epileptic seizures},
 year = {2020}
}

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TY  - JOUR
T1  - Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu
AU  - Sounga Bandzouzi Prince Eliot Galieni
AU  - Mpandzou Ghislain Armel
AU  - Ebelebe Evence Vital
AU  - Sounga Dufeil
AU  - Mialoudama Karl
AU  - Motoula Latou Dina Happhia
AU  - Diatewa Josue
AU  - Matali Edgard
AU  - Obondzo Aloba Karen
AU  - Koubemba Godefroy Charles
AU  - Ossou-Nguiet Paul Macaire
Y1  - 2020/09/23
PY  - 2020
N1  - https://doi.org/10.11648/j.cnn.20200403.15
DO  - 10.11648/j.cnn.20200403.15
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 66
EP  - 70
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200403.15
AB  - Epilepsy and cerebrovascular accident (stroke) are two common conditions in neurology, the frequency of which increases with age. One of the most common comorbidities after a stroke is epilepsy; nearly 10% of stroke patients will have a seizure immediately or later. The aim of study was to describe the epidemiological, clinical, electrical and evolutionary aspects of post-stroke crises at the Brazzaville University Hospital. This was a cross-sectional study carried out from March 1 to September 30, 2018 in the neurology department of the University Hospital of Brazzaville. It focused on patients over 18 years of age hospitalized for a seizure following a stroke documented by imaging. The epidemiological, electroclinical and therapeutic variables were evaluated. 322 patients hospitalized for stroke, 62 (15.5%) presented with seizures following the vascular event. Men were more affected (57%). The median time to onset of seizures was 2478 days (6.8 years) after stroke. These attacks were early in 69.4% of cases, and most often focal (37.1%). The epileptic seizures were related to the arterial infarctions in 79% of the cases and the abnormalities found on the EEG tracing were consistent with the location of the vascular lesion in 63.6% of the cases. The death rate was 14.5%. The predictive factors of this mortality were: the late onset of epileptic seizures (p=0.048), the presence of hyperglycemia (p=0.006) and the absence of a return to a normal state of consciousness (p<0.001). Post-stroke epileptic seizures are frequent in our region. Secondary prevention of stroke would help reduce the occurrence of strokes and therefore epileptic seizures
VL  - 4
IS  - 3
ER  - 

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