Prediction of post hemorrhagic stroke seizures | ||
| Zagazig University Medical Journal | ||
| Article 28, Volume 28, Issue 6.1, November 2022, Pages 202-206 PDF (302.7 K) | ||
| Document Type: Review Articles | ||
| DOI: 10.21608/zumj.2020.24856.1754 | ||
| Authors | ||
| mohamed ismail* 1; Amal ELmotayam2; abdelrahman fahmy3 | ||
| 1lecturer of neurology, faculty of medicine, zagazig university | ||
| 2professor of neurology,faculty of medicine , zagazig university | ||
| 3lecturer of neurology ,faculty of medicine-zagazig university | ||
| Abstract | ||
| Abstract: Background and Purpose: Seizures are a serious complication of spontaneous intracerebral hemorrhage (sICH) which increases morbidity of the patients. Patients and Methods; cross sectional analysis of patients admitted to Zagazig Neurology Department and Intensive Care Unit(ICU) (n=125and follow-up to 6 months) for detection of early and late onset seizures. within 7 days of ICH and among 7-day survivors for detection of early seizures (ES) and late seizures (LSs) occurring >7 days from ICH. Using CT brain and CT angiography for diagnosis and to measure the volume of hemorrhage, also using CAVE score for evaluation or ES and LSS. Results: Of our study on 125 patients with sICH 58 were males and 67 were females , there were cortical hge 36% , BG(Basal Ganglia) 23.2%, Thalamic he 25.6%,cerebellar he 10.4% and brain stem was 4.8%, while intraventricular extenstion was 9.6% and with SAH 7.2 %, also 18 patients (14.4%) had ES within 7 days of sICH. Among the 7-day survivors, 10 patients (8%) developed LSs. There were a stasistically significant association between early ES and LSs with the volume of intracerebral hemorrhage and CAVE scale. Conclusions: about 14 % of patients with sICH will develop seizures with in the first 7 days . while 8% will develop LSs after one week of sICH The risk of this adverse outcome can be estimated by CAVE scale which is a simple score based on baseline variables. | ||
| Keywords | ||
| (sICH); (ES); (LSS) | ||
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