Cerebrovascular disease is the most frequently identified antecedent of new-onset seizures or epilepsy in industrialized countries. Three recent publications have evaluated the risk of epilepsy following a first cerebrovascular insult. Each report provides evidence for a substantial risk in some patient subgroups, although the study methodologies and definitions of epilepsy vary.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Diagnosis and Treatment of Poststroke Epilepsy: Where Do We Stand?
Current Treatment Options in Neurology Open Access 01 December 2022
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Olafsson, E. et al. Incidence of unprovoked seizures and epilepsy in Iceland and assessment of the epilepsy syndrome classification: a prospective study. Lancet Neurol. 4, 627–634 (2005).
Jungehulsing, G. J., Heuschmann, P. U., Holtkamp, M., Schwab, S. & Kolominsky-Rabas, P. L. Incidence and predictors of post-stroke epilepsy. Acta Neurol. Scand. http://dx.doi.org/10.1111/ane.12070.
Arntz, R. et al. Post-stroke epilepsy in young adults: a long-term follow-up study. PLoS ONE 8, e55498 (2013).
Graham, N. S., Crichton, S., Koutroumanidis, M., Wolfe, C. D. & Rudd, A. G. Incidence and associations of poststroke epilepsy: the prospective South London Stroke Register. Stroke 44, 605–611 (2013).
Beghi, E. et al. Recommendation for a definition of acute symptomatic seizure. Epilepsia 51, 671–675 (2010).
Hesdorffer, D. C., Benn, E. K., Cascino, G. D. & Hauser, W. A. Is a first acute symptomatic seizure epilepsy? Mortality and risk for recurrent seizure. Epilepsia 50, 1102–1108 (2009).
Thurman, D. J. et al. Standards for epidemiologic studies and surveillance of epilepsy. Epilepsia 52 (Suppl. 7), 2–26 (2011).
Fisher, R. S. et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 46, 470–472 (2005).
Easton, J. D. et al. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke 40, 2276–2293 (2009).
Beghi, E. et al. Incidence and predictors of acute symptomatic seizures after stroke. Neurology 77, 1785–1793 (2011).
Author information
Authors and Affiliations
Ethics declarations
Competing interests
W. A. Hauser is a consultant to the Federal Aviation Administration and receives grant funding from the Centers for Disease Control and Prevention. He has been a consultant to Neuropace and Eisai Pharmaceuticals, and is a member of a data and safety monitoring board for Teva Pharmaceuticals. He has received travel funding from the International League Against Epilepsy. He has no conflicts in terms of the current paper.
Rights and permissions
About this article
Cite this article
Hauser, W. Poststroke epilepsy—old definitions fit best. Nat Rev Neurol 9, 305–306 (2013). https://doi.org/10.1038/nrneurol.2013.80
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrneurol.2013.80
This article is cited by
-
Diagnosis and Treatment of Poststroke Epilepsy: Where Do We Stand?
Current Treatment Options in Neurology (2023)