Acute seizures in the acute ischemic stroke setting A step forward in their description

被引：6

作者：

Alvarez, Vincent ^{[1
]}

机构：

[1] Harvard Univ, Brigham & Womens Hosp, Dept Neurol, Sch Med, Boston, MA 02115 USA

来源：

NEUROLOGY | 2014年 / 82卷 / 09期

关键词：

ACUTE SYMPTOMATIC SEIZURES; GUIDELINES; PREDICTORS; MANAGEMENT;

D O I：

10.1212/WNL.0000000000000176

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Although the incidence of acute seizures after ischemic strokes is small, about 1.2%-4.2%,(1,2) they still represent a substantial clinical challenge. There are no clear management guidelines, and the effect on stroke outcome is a matter of debate.(3) Moreover, experiencing a seizure at the stroke onset may represent a relative contraindication for thrombolysis.(4) Despite all of these clinical pitfalls and multiple published studies, there remains a lack of knowledge regarding acute seizures after acute ischemic strokes. In this issue of Neurology (R), Huang et al.(5) add information to this field.

引用

页码：740 / 741

页数：2

共 10 条

[1] Guidelines for the early management of adults with ischemic stroke - A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups [J].

Adams, Harold P., Jr. ;

del Zoppo, Gregory ;

Alberts, Mark J. ;

Bhatt, Deepak L. ;

Brass, Lawrence ;

Furlan, Anthony ;

Grubb, Robert L. ;

Higashida, Randall T. ;

Jauch, Edward C. ;

Kidwell, Chelsea ;

Lyden, Patrick D. ;

Morgenstern, Lewis B. ;

Qureshi, Adnan I. ;

Rosenwasser, Robert H. ;

Scott, Phillip A. ;

Wijdicks, Eelco F. M. .

STROKE, 2007, 38 (05) :1655-1711

[2] Acute seizures in acute ischemic stroke: does thrombolysis have a role to play? [J].

Alvarez, Vincent ;

Rossetti, Andrea O. ;

Papavasileiou, Vasileios ;

Michel, Patrik .

JOURNAL OF NEUROLOGY, 2013, 260 (01) :55-61

[3]

Baldin CF, 2000, ARCH NEUROL-CHICAGO, V57, P1617

[4] Incidence and predictors of acute symptomatic seizures after stroke [J].

Beghi, E. ;

D'Alessandro, R. ;

Beretta, S. ;

Consoli, D. ;

Crespi, V. ;

Delaj, L. ;

Gandolfo, C. ;

Greco, G. ;

La Neve, A. ;

Manfredi, M. ;

Mattana, F. ;

Musolino, R. ;

Provinciali, L. ;

Santangelo, M. ;

Specchio, L. M. ;

Zaccara, G. .

NEUROLOGY, 2011, 77 (20) :1785-1793

[5] Acute Symptomatic Seizures A Clinically Oriented Review [J].

Beleza, Pedro .

NEUROLOGIST, 2012, 18 (03) :109-119

[6] Poststroke epilepsy - Epidemiology, pathophysiology and management [J].

Ferro, JM ;

Pinto, F .

DRUGS & AGING, 2004, 21 (10) :639-653

[7] Guidelines for management of ischaemic stroke and transient ischaemic attack 2008 - The European Stroke Organisation (ESO) Executive Committee and the ESO Writing Committee [J].

Hacke, Werner ;

Ringleb, Peter A. ;

Bousser, Marie-Germaine ;

Ford, Gary ;

Bath, Philip ;

Brainin, Michael ;

Caso, Valeria ;

Cervera, Alvaro ;

Chamorro, Angel ;

Cordonnier, Charlotte ;

Csiba, Laszlo ;

Davalos, Antoni ;

Diener, Hans-Christoph ;

Ferro, Jose ;

Hennerici, Michael ;

Kaste, Markku ;

Langhorne, Peter ;

Lees, Kennedy ;

Leys, Didier ;

Lodder, Jan ;

Markus, Hugh S. ;

Mas, Jean-Louis ;

Mattle, Heinrich P. ;

Muir, Keith ;

Norrving, Bo ;

Obach, Victor ;

Paolucci, Stefano ;

Ringelstein, E. Bernd ;

Schellinger, Peter D. ;

Sivenius, Juhani ;

Skvortsova, Veronika ;

Sunnerhagen, Katharina Stibrant ;

Thomassen, Lars ;

Toni, Danilo ;

von Kummer, Ruediger ;

Wahlgren, Nils Gunnar ;

Walker, Marion F. ;

Wardlaw, Joanna .

CEREBROVASCULAR DISEASES, 2008, 25 (05) :457-507

[8] Influence of seizures on stroke outcomes A large multicenter study [J].

Huang, Chin-Wei ;

Saposnik, Gustavo ;

Fang, Jimming ;

Steven, David A. ;

Burneo, Jorge G. .

NEUROLOGY, 2014, 82 (09) :768-776

[9] Prevalence and predictors of early seizure and status epilepticus after first stroke [J].

Labovitz, DL ;

Hauser, WA ;

Sacco, RL .

NEUROLOGY, 2001, 57 (02) :200-206

[10] Optimizing therapy of seizures in stroke patients [J].

Ryvlin, Philippe ;

Montavont, Alexandra ;

Nighoghossian, Norbert .

NEUROLOGY, 2006, 67 (12) :S3-S9

← 1 →