Abstract

CARRASCO DEL MAURO, Alfonsina Paz; CARDENAS BAHANONDE, Paola Alejandra; MANRIQUEZ SILVA, Carla Andrea  and  LOPEZ ARCOS, Eduardo. Epileptic seizures secondary to stroke. Case report, Chillán-Chile in January 2013-August 2014. Rev Cient Cienc Méd [online]. 2014, vol.17, n.2, pp.19-22. ISSN 1817-7433.

Introduction: cerebrovascular accident (CVA) is a brain injury that can result in epileptic seizures (ES) as a sequel in 2-14% of patients. For Chile is an important health care problem because CVA is the greatest risk factor of ES in the elderly. Objective: Review the incidence of these cases at Chillán Hospital, find predictive factors, and evaluate crisis. Hypothesis:As the risk factors increase, there is a higher chance of getting ES after CVA. Patients and method: Descriptive study of case series. Patients with CVA between January 2013 and August 2014 were chosen. From this group, patients that presented ES as a sequel on discharge were 6 from 539. Medical records are reviewed and compared with literature. Results:from six pacient one is loss. From the remaining 60% are males, and 40% female, with an mean age of 64.8 years. In 100% CVA with 80% presenting generalized tonic-clonic and 20% simple partial seizures during and hospitalization. 100% presented their first ES during hospitalization. 100% has cardiovascular morbidity. Discussion: Local incidence is lower than both national and international incidence, mean age is similar to that reported in literature; 66.5. The 100% had predictive factors to develop ES after CVA: young patient, coagulopathy, high NIHSS. Conclusion: it is unlikely that the missing patient would influence the results. There may be predictive factors for CVA that can help prevent complications such as the ES. It is crucial to find methods to prevent these sequels as mean age of the population is increasing.

Keywords : Cerebrovascular accident; Stroke; Epilepsy.

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