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Clinical Cases and Reviews in Epilepsy

Post-stroke seizures: a clinical approach to diagnosis and treatment

Review, 1 - 6
doi: 10.11138/ccre/2017.2.1.001
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Abstract
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Cerebrovascular disease is the most commonly identified cause of acquired epilepsy. Differentiating between early and late post-stroke seizures is relevant from an epidemiological and clinical perspective, as they carry different risk of seizure recurrence.
The occurrence of a single late post-stroke seizure is associated with high risk of seizure recurrence, and therefore enables to diagnose post-stroke epilepsy. Some clinical and stroke characteristics are associated with an increased risk of post-stroke seizures; they might prove useful in the future, when preventative measures will be available. Currently, there is no robust evidence to support the use of neuroprotective drugs for primary prevention of post-stroke seizures.
There is also insufficient evidence to recommend the use of a specific antiepileptic drug for the treatment of post-stroke epilepsy. Thrombolysis with t-PA might increase the risk of early seizures without affecting the risk of post-stroke epilepsy; further studies are however required to further investigate this association.

Vol. 2 (No. 1) 2017 Janaury - December

  1. Post-stroke seizures: a clinical approach to diagnosis and treatment
    Brigo F., Bragazzi N.L., Nardone R.
    doi: 10.11138/ccre/2017.2.1.001
  2. Psychogenic non-epileptic seizures: an overview on terminology, epidemiology and diagnostic features
    Brigo F., Igwe S.C., Tezzon F., Nardone R.
    doi: 10.11138/ccre/2017.2.1.007
  3. Drug resistant epilepsy in a young male with Cat Eye Syndrome: a case study
    Verri A., Terzaghi M., Maffoni M., Caselli R., Recalcati M.P., Rognone E.
    doi: 10.11138/ccre/2017.2.1.015
  4. Stereotypy of psychogenic nonepileptic seizurelike events compared to temporal lobe seizures: a quantitative analysis of ictal events captured during Video EEG monitoring
    Vogrig A,, Hsiang J.C., Parvizi J.
    doi: 10.11138/ccre/2017.2.1.020
  5. Super-refractory status epilepticus or degenerative encephalopathy with rapid progression? A case report
    Pappalardo I., Cortellazzi P., de Curtis M., Didato G., Pastori C., Minardi I., Beretta S., Michelucci R., Villani F.
    doi: 10.11138/ccre/2017.2.1.027
  6. Polymicrogyria: the bigger the malformation, the worse the epilepsy, is that true?
    Mirandola L., Nobile G., Monti G., Giovannini G., Meletti S.
    doi: 10.11138/ccre/2017.2.1.033
  7. Is genetic aetiology an absolute contraindication for epilepsy surgery? Description of two patients with focal genetic epilepsy who underwent presurgical study
    Ferri L., Bisulli F., Mai R., Lichetta L., Leta C., Nobili L., Muccioli L., Mostacci B., Pippucci T., Tinuper P.
    doi: 10.11138/ccre/2017.2.1.037
  8. First clinical experiences with perampanel in adult patients with drug-resistant epilepsy and cognitive impairment
    Orlando B., Martino T., Quitadamo S.G., Di Claudio M.T., Lalla A., Avolio C., d'Orsi G.
    doi: 10.11138/ccre/2017.2.1.043
  9. Surgical indication and controversies in temporal lobe epilepsy of uncertain lateralisation associated with a unilateral glioneuronal lesion: report of two cases
    Marino D., Tumminelli G., Rocchi R., Bocci S., Pucci B., Sestini S., Cacciola F., Vatti G.
    doi: 10.11138/ccre/2017.2.1.049
  10. Epileptic phenotypes related to the UNC79-UNC80-NALCN protein complex
    Cossu S., Angius A., Oppo M., Onano S., Persico I., Persico I., Uva P., Cuccuru G., Asunis M., Crisponi L., Pruna D.
    doi: 10.11138/ccre/2017.2.1.054
  11. Axial propriospinal myoclonus misdiagnosed as myoclonic seizures
    Pascarella M.G., Martino T., Di Claudio M.T., Avolio C., d'Orsi G.
    doi: 10.11138/ccre/2017.2.1.059
  12. Atypical focal ESES/CSWSS: a clinical case
    Fatuzzo D., Giuliano L., Mainieri G., Lingenti V., Sofia V.
    doi: 10.11138/ccre/2017.2.1.062
  13. A novel de novo SCN8A mutation in an Italian child treated with Levetiracetam: a case in discussion
    Galati C., Isgrò A.R., Lo Re E., Calabrò N., Sgro D.L., Spanò M., Gagliano A.
    doi: 10.11138/ccre/2017.2.1.066
  14. Transauricular Vagus Nerve Stimulation (t-VNS) as a valid predictor of invasive VNS efficacy in drug resistant epilepsy: a case-report
    Barbella G., Freri E., Marotta G., Di Franesco J.C., Ferrarese C., Casazza M
    doi: 10.11138/ccre/2017.2.1.074
  15. Super-refractory status epilepticus in children: what happens when anesthetic therapy is not enough?
    Caputo D., Stoppa F., Vigevano F., Fusco L.
    doi: 10.11138/ccre/2017.2.1.080
  16. Ictal lateralized periodic discharges presenting as epilepsia partialis continua in a patient with chronic stroke
    Colombo M., Beretta S., Bogliun G., Ferrarese C.
    doi: 10.11138/ccre/2017.2.1.088
  17. Fixation-off sensitivity in a girl with symptomatic occipital epilepsy admitted in non-convulsive status epilepticus
    Puentes N.A., Menéndez A.G., Pérez Gil O., García Gutiérrez P.
    doi: 10.11138/ccre/2017.2.1.091
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  1. Post-stroke seizures: a clinical approach to diagnosis and treatment
    Brigo F., Bragazzi N.L., Nardone R.
    doi: 10.11138/ccre/2017.2.1.001
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