Risk of stroke after new-onset seizures

Cerebrovascular disease is a well-known cause of epilepsy. Multiple investigators have also reported that an onset of seizures after middle age can precede stroke [1 –8] and the term “heraldic seizures” has been suggested [9]. Several plausible explanations exist; late-onset epileptic seizures may reflect occult cerebrovascular disease, promote isolation and reduced physical activity, or result in treatment with antiepileptic drugs that, in turn, increase cardiovascular risk. Whether late-onset epilepsy should prompt cardiovascular workup and primary prevention of stroke remains uncertain, and there is currently no randomised evidence to guide management.
Source: Seizure: European Journal of Epilepsy - Category: Neurology Authors: Source Type: research

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Source: Seizure: European Journal of Epilepsy - Category: Neurology Authors: Source Type: research
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Assessment of recurrence risk is fundamental after a first epileptic seizure. In general, the risk of recurrence is approximately 21 –45 % in the next five years; brain disorders like trauma, infections and stroke increase the risk of recurrence, as do nocturnal seizures, imaging abnormalities, epileptiform activity on the electroencephalogram (EEG), or abnormal neurological examination [1,2]. Based on the risk assessment, pati ents may be counselled on safety or driving. In some circumstances, clinicians may also offer antiseizure medication (ASM) already after a first seizure.
Source: Seizure: European Journal of Epilepsy - Category: Neurology Authors: Source Type: research
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