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Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu

Received: 26 August 2020     Accepted: 10 September 2020     Published: 23 September 2020
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Abstract

Epilepsy and cerebrovascular accident (stroke) are two common conditions in neurology, the frequency of which increases with age. One of the most common comorbidities after a stroke is epilepsy; nearly 10% of stroke patients will have a seizure immediately or later. The aim of study was to describe the epidemiological, clinical, electrical and evolutionary aspects of post-stroke crises at the Brazzaville University Hospital. This was a cross-sectional study carried out from March 1 to September 30, 2018 in the neurology department of the University Hospital of Brazzaville. It focused on patients over 18 years of age hospitalized for a seizure following a stroke documented by imaging. The epidemiological, electroclinical and therapeutic variables were evaluated. 322 patients hospitalized for stroke, 62 (15.5%) presented with seizures following the vascular event. Men were more affected (57%). The median time to onset of seizures was 2478 days (6.8 years) after stroke. These attacks were early in 69.4% of cases, and most often focal (37.1%). The epileptic seizures were related to the arterial infarctions in 79% of the cases and the abnormalities found on the EEG tracing were consistent with the location of the vascular lesion in 63.6% of the cases. The death rate was 14.5%. The predictive factors of this mortality were: the late onset of epileptic seizures (p=0.048), the presence of hyperglycemia (p=0.006) and the absence of a return to a normal state of consciousness (p<0.001). Post-stroke epileptic seizures are frequent in our region. Secondary prevention of stroke would help reduce the occurrence of strokes and therefore epileptic seizures

Published in Clinical Neurology and Neuroscience (Volume 4, Issue 3)
DOI 10.11648/j.cnn.20200403.15
Page(s) 66-70
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Epileptic Seizures, Stroke, Brazzaville University Hospital

References
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    Sounga Bandzouzi Prince Eliot Galieni, Mpandzou Ghislain Armel, Ebelebe Evence Vital, Sounga Dufeil, Mialoudama Karl, et al. (2020). Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu. Clinical Neurology and Neuroscience, 4(3), 66-70. https://doi.org/10.11648/j.cnn.20200403.15

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    ACS Style

    Sounga Bandzouzi Prince Eliot Galieni; Mpandzou Ghislain Armel; Ebelebe Evence Vital; Sounga Dufeil; Mialoudama Karl, et al. Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu. Clin. Neurol. Neurosci. 2020, 4(3), 66-70. doi: 10.11648/j.cnn.20200403.15

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    AMA Style

    Sounga Bandzouzi Prince Eliot Galieni, Mpandzou Ghislain Armel, Ebelebe Evence Vital, Sounga Dufeil, Mialoudama Karl, et al. Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu. Clin Neurol Neurosci. 2020;4(3):66-70. doi: 10.11648/j.cnn.20200403.15

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  • @article{10.11648/j.cnn.20200403.15,
      author = {Sounga Bandzouzi Prince Eliot Galieni and Mpandzou Ghislain Armel and Ebelebe Evence Vital and Sounga Dufeil and Mialoudama Karl and Motoula Latou Dina Happhia and Diatewa Josue and Matali Edgard and Obondzo Aloba Karen and Koubemba Godefroy Charles and Ossou-Nguiet Paul Macaire},
      title = {Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu},
      journal = {Clinical Neurology and Neuroscience},
      volume = {4},
      number = {3},
      pages = {66-70},
      doi = {10.11648/j.cnn.20200403.15},
      url = {https://doi.org/10.11648/j.cnn.20200403.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200403.15},
      abstract = {Epilepsy and cerebrovascular accident (stroke) are two common conditions in neurology, the frequency of which increases with age. One of the most common comorbidities after a stroke is epilepsy; nearly 10% of stroke patients will have a seizure immediately or later. The aim of study was to describe the epidemiological, clinical, electrical and evolutionary aspects of post-stroke crises at the Brazzaville University Hospital. This was a cross-sectional study carried out from March 1 to September 30, 2018 in the neurology department of the University Hospital of Brazzaville. It focused on patients over 18 years of age hospitalized for a seizure following a stroke documented by imaging. The epidemiological, electroclinical and therapeutic variables were evaluated. 322 patients hospitalized for stroke, 62 (15.5%) presented with seizures following the vascular event. Men were more affected (57%). The median time to onset of seizures was 2478 days (6.8 years) after stroke. These attacks were early in 69.4% of cases, and most often focal (37.1%). The epileptic seizures were related to the arterial infarctions in 79% of the cases and the abnormalities found on the EEG tracing were consistent with the location of the vascular lesion in 63.6% of the cases. The death rate was 14.5%. The predictive factors of this mortality were: the late onset of epileptic seizures (p=0.048), the presence of hyperglycemia (p=0.006) and the absence of a return to a normal state of consciousness (p<0.001). Post-stroke epileptic seizures are frequent in our region. Secondary prevention of stroke would help reduce the occurrence of strokes and therefore epileptic seizures},
     year = {2020}
    }
    

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    T1  - Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu
    AU  - Sounga Bandzouzi Prince Eliot Galieni
    AU  - Mpandzou Ghislain Armel
    AU  - Ebelebe Evence Vital
    AU  - Sounga Dufeil
    AU  - Mialoudama Karl
    AU  - Motoula Latou Dina Happhia
    AU  - Diatewa Josue
    AU  - Matali Edgard
    AU  - Obondzo Aloba Karen
    AU  - Koubemba Godefroy Charles
    AU  - Ossou-Nguiet Paul Macaire
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    DO  - 10.11648/j.cnn.20200403.15
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    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
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    PB  - Science Publishing Group
    SN  - 2578-8930
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    AB  - Epilepsy and cerebrovascular accident (stroke) are two common conditions in neurology, the frequency of which increases with age. One of the most common comorbidities after a stroke is epilepsy; nearly 10% of stroke patients will have a seizure immediately or later. The aim of study was to describe the epidemiological, clinical, electrical and evolutionary aspects of post-stroke crises at the Brazzaville University Hospital. This was a cross-sectional study carried out from March 1 to September 30, 2018 in the neurology department of the University Hospital of Brazzaville. It focused on patients over 18 years of age hospitalized for a seizure following a stroke documented by imaging. The epidemiological, electroclinical and therapeutic variables were evaluated. 322 patients hospitalized for stroke, 62 (15.5%) presented with seizures following the vascular event. Men were more affected (57%). The median time to onset of seizures was 2478 days (6.8 years) after stroke. These attacks were early in 69.4% of cases, and most often focal (37.1%). The epileptic seizures were related to the arterial infarctions in 79% of the cases and the abnormalities found on the EEG tracing were consistent with the location of the vascular lesion in 63.6% of the cases. The death rate was 14.5%. The predictive factors of this mortality were: the late onset of epileptic seizures (p=0.048), the presence of hyperglycemia (p=0.006) and the absence of a return to a normal state of consciousness (p<0.001). Post-stroke epileptic seizures are frequent in our region. Secondary prevention of stroke would help reduce the occurrence of strokes and therefore epileptic seizures
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo

  • Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo

  • Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo

  • Clinical Research Unit, Beauvais Hospital Center, Beauvais, France

  • Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo

  • Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo

  • Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo

  • Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo

  • Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo

  • Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo

  • Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo

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