Journal of the Japan Epilepsy Society
Online ISSN : 1347-5509
Print ISSN : 0912-0890
ISSN-L : 0912-0890
Convulsive Seizures in Cerebrovascular Accidents
from the Neurosurgical Point of View
Takayuki KuwaharaMasaaki MurakiToshiaki NinchojiKenichi Uemura
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1990 Volume 8 Issue 1 Pages 68-74

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Abstract
We studied incidences of convulsive seizures in patients with cerebrovascular accidents, the lesion of which had originated in the cerebrum.
The results were as follows:
1) The incidences of immediate, early and late convulsions are 4.2%, 1.6% and 5.2%(7.5% in patients followed up for more than 2 years).
2) Occurrence of late seizures were adversely affected by
a) surgical procedures
b) hemorrhagic infarctions involving the cortex, and
c) immediate convulsions after infarction.
3) Patients with any kinds of operative procedures in both ischemic and hemorrhggic lesions showed a high tendency of late convulsions.
4) Most of late convulsions (92%) occurred within 2 years.
5) Presence of convulsions after cerebrovascular accidents did not have prognostic value for underlying brain diseases.
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© Japan Epilepsy Society
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