Abstract

THE INCIDENCE OF SEIZURE IN THE FIRST 24 HOURS OF PATIENTS WITH ACUTE STROKE

*Dr. Oqba Mahmoud Ateya

ABSTRACT

Background: Stroke has shown to be a considerable predictor of seizure mainly in the elderly, especially in patients with hemorrhagic stroke. This study intended to estimate the incidence of seizure in the first 24 hours of patients with acute stroke. Patients and Methods: An across sectional study, on (110) Patients who were admitted with acute stroke to the emergency department during the period from January 2015 to June 2015 were randomly enrolled in the study. Patients with a prior history of Seizures, Patients with CSVT and radiological findings of old stroke were excluded from the study. Results: A significant association was observed between hemorrhagic strokes and seizures (p<0.001). The incidence of seizures in hemorrhagic strokes was 8.1%, among ICH strokes was 6.3% in comparison with SAH strokes that was 1.8%. There was no significant association observed between ischemic strokes and seizures, incidence of seizures in ischemic strokes was 3.6%, among embolic and thrombotic ischemic strokes was 2.7% and 0.9% respectively. Conclusions: In my study, the incidence of seizure in hemorrhagic strokes is more than in ischemic strokes and ICH more than SAH. In ischemic strokes higher incidence of seizures was observed in embolic versus thrombotic strokes.

Keywords: Stroke, Seizure, Incidence, Hemorrhagic, Ischemic.