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Post-Stroke Status Epilepticus: Time of Occurrence May Be the Difference?

Nilo, Annacarmen
•
Pauletto, Giada
•
Lorenzut, Simone
altro
Valente, Mariarosaria
2023
  • journal article

Periodico
JOURNAL OF CLINICAL MEDICINE
Abstract
(1) Background: Stroke is one of the most frequent causes of status epilepticus (SE) in adults. Patients with stroke and SE have poorer prognosis than those with stroke alone. We described characteristics and prognosis of early- and late-onset post-stroke SE (PSSE). (2) Methods: We retrospectively analyzed consecutive stroke patients who experienced a first SE between August 2012 and April 2021, comparing clinical characteristics, stroke, and SE features between early- versus late-onset SE in relation to patients' outcome. (3) Results: Forty stroke patients experienced PSSE. Fourteen developed an early-onset SE (35%) and twenty-six a late-onset SE (65%). Early-onset SE patients had a slightly higher NIHSS score at admission (6.9 vs. 6.0; p = 0.05). Early-onset SE was more severe than late-onset, according to STESS (Status Epilepticus Severity Score) (3.5 vs. 2.8; p = 0.05) and EMSE (Epidemiology-based Mortality score in Status Epilepticus) score (97.0 vs. 69.5; p = 0.04); furthermore, it had a significant impact on disability at 3-month and 1-year follow-up (p = 0.03 and p = 0.02). SE recurrence and seizures relapse were observed mainly in cases of late-onset SE. (4) Conclusions: Early-onset SE seems to be associated with higher disability in short- and long-term follow-up as possible expression of severe acute brain damage.
DOI
10.3390/jcm12030769
WOS
WOS:000931056600001
Archivio
https://hdl.handle.net/11390/1248173
info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85147803842
https://ricerca.unityfvg.it/handle/11390/1248173
Diritti
open access
Soggetti
  • outcome

  • post-stroke epilepsy

  • seizure recurrence

  • status epilepticu

  • stroke

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