Determining The Association of Post-Stroke Epilepsy with The Location of Ischemic Stroke in Adult Patients

Abstract

Abstract BACKGROUND AND OBJECTIVE: Seizures associated to stroke are recurrently encountered by a neurologist. Early post stroke seizures indicate an acute, and possibly recoverable brain damage while late seizures happen because of long-term alteration in brain after stroke. Medical probability models and bio and genetic markers should be combined in near future to aid the identification of progression of post stroke seizures and improve the recognition of post stroke epilepsy in individuals. A study was conducted to assess the role of ischemic stroke as a causative agent for epileptic seizures along the effect of stroke location on seizure severity. METHODOLOGY: This study is a cross sectional study done over a period of 2 years at neurology department of Pakistan institute of Medical sciences. Study collected the relevant data from 71 patients admitted with ischemic stroke all of whom were monitored for any seizure episode. RESULTS: Post stroke epilepsy was seen more commonly with ischemic strokes in middle cerebral artery territory. p value came as significant for Pearson Chi-Square and likelihood ratio while p value came as non-significant for linear-by-linear association. CONCLUSION: As middle cerebral artery came out as hot stop for post stroke seizures, so any survivor of stroke caused due middle cerebral artery should undergo EEG (electroencephalography) which aids in the detection of precise patterns which are related to seizures.