Abstracts

We had studied demographic characteristics, stroke risk factors, size of lesions, seizure type and EEG findings. We evaluated if the patients received antiepileptic drugs after the first seizure and also we evaluated the recurrence of seizures along 5 years. Included in this study were 1061 cerebrovascular disease patients ( 846 ischemic stroke, 186 hematoma and 29 subarachnoid hemorrhage (SAH)) who were admitted to the Department of Neurology of Clinic Hospital to Zaragoza between January 1998 and December 2000. Of these patients, 39 had early seizures in acute stroke. 3.7% of patients ( 2.2% with ischemic stroke, 8% hematoma and 13% SAH ) experienced one first-ever seizure. Mean age of 70.15 years. Arterial hypertension was the main risk factor stroke, it was present in 44% of patients. Of 39 patients, 54% developed generalized seizures and 46% partial onset. The main territory of ischemic stroke affected was medium cerebral artery. Cardioembolism was the main cause of ischemic stroke with seizures. 58% and 42% of hematomas were lobars and lentriculars respectively. Death was in 18% of patients in the first week. 61% of patients received antiepileptic drugs and phenitoine was the most used. Male patients with hipertension and hematoma or SAH suffer early seizures in most frecuency. High mortality in the first week. Low recurrence of seizures in the future and so the antiepileptic treatment musn[apos]t be prolonged more than 3 month.