Early Seizures After Stroke

Objective: Stroke is an important and well known cause of epileptic seizures in adults especially after 50 years of age. Poststroke seizures are divided into two groups; early seizures and late seizures according to the stroke's temporal relationship with seizures. In general, seizures that occur during the first or second week after stroke are considered as early seizures. Material and Method: In this study, we evaluated the rate of early seizures in stroke patients, lesion and seizure types, and lesion localisations in patients with poststroke seizures. Results: Early seizures occured in 27 of 630 (4,3 %) patients. Seizures were most often focal motor seizures and occured 39 % in MCA, 28 % in PCA, and 22 % in watershed area lesions. We observed that seizures occured mostly during the first days of the stroke. Conclusion: We did not find any statistically significant difference between haemorhagic and ischemic stroke patients with respect to early seizure occurence.