Non-Convulsive Status Epilepticus in Ischemic Stroke and its Impact on Prognosis
Journal Title: Archives in Neurology & Neuroscience (ANN) - Year 2018, Vol 1, Issue 2
Abstract
Background: Emerging data support a higher than previously thought incidence of Non-Convulsive Epileptic Activity in Ischemic Stroke Patients, which is an important consideration affecting prognosis. Objectives: to determine frequency of non-convulsive status epilepticus (NCSE), in the form of continuous electrographic Seizures with no motor manifestations, in ischemic stroke patients and how it affects outcome. Methods: We prospectively and consecutively studied 3168 patients with acute stroke, collected from January 2006 to December 2009. DEEG was done for every stroke patient within 24 hours of admission to ICU and repeated if his level of consciousness changed. We determined initial stroke severity, mortality, and outcome in survivors. Stroke severity was assessed, clinically and by imaging. Multiple logistic and linear regression outcome analyses included age, gender, stroke severity, atrial fibrillation, ischemic heart disease, blood glucose level, claudication, and hypertension. Results: NCSE were detected in 197 (6.2 %) patients in the first EEG. With second EEG done after change in level of consciousness of 1054 patients, total number of patients showed NCSE increased to 579 (18.27 %). Patients with early NCSE Mortality rate is higher than that of late NCSE, Mortality rate is higher in patients with disturbed level of consciousness and no NCSE, than those with NCSE. ICU stay duration is shorter and clinical outcome is better for patients with disturbed level of consciousness and NCSE. Conclusion: NCSE is a frequent finding in acute stroke, reaching 18%, Patients with stroke would benefit from an EEG. Early NCSE increase Mortality rate. Treating NCSE improves outcome.
Authors and Affiliations
Keywords
Related Articles
- EP ID EP592612
- DOI 10.33552/ANN.2018.01.000507
- Views 91
- Downloads 0
Syncope in the Context of Disorganization of Neural and Glial Network of a Brain
By means of a new method - dispersion of amplitude-frequency characteristics of an alpha rhythm of EEG the evidence that to a syncope is a consequence of functional disorganization of neural and glial network of a brain...
The Concept of Autism Spectrum Disorder-A Review Literature
On the assumption that enough work has been done on autism spectrum; this study reviews the exiting literature on the topic. The study first sorted out what existing literature is saying on the topic and what different r...
Rett Syndrome: Reporting A Case and Review in Literature
Rett syndrome is a disorder in children’s neurological development characterized by an initial normal evolution followed by the loss of voluntary use and characteristic movements of the hands, a delayed growth of the bra...
Oculomotor Disorders in Patients with Diabetes
The article focuses on oculomotor disorders in diabetic patients. Quite often diabetic patients have oculomotor neuropathies, both as mononeuropathy and multiple cranial neuropathies. 25% of all cases of paralysis of the...
Carpal Tunnel Syndrome in a patient with RicheCannieu Anastomosis
The intrinsic hand muscles are innervated by the ulnar and median nerves. There are anatomic anomalous innervations in the upper extremities that every electromyographer should be able to identify as these may be commonl...