Epileptic seizures in thrombotic stroke

J Neurol. 1990 Jun;237(3):166-70. doi: 10.1007/BF00314589.


Epileptic seizures due to thrombotic cerebral infarction were studied in 118 patients. The occurrence of seizures had a bimodal distribution with one peak period within 2 weeks and another peak period from 6 to 12 months after stroke. Four patients had seizures preceding stroke, while 23 patients without a history of previous stroke had "silent infarct" on the CT scan. Fifteen patients (13%) had status epilepticus. Simple partial seizures occurred in 56% of patients, complex partial seizures in 24% and generalized tonic-clonic seizures in 4%. Epilepsy developed in 35% of patients with early seizures and in 90% of patients with late seizures.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cerebral Infarction / complications
  • Cerebral Infarction / pathology
  • Cerebrovascular Disorders / complications*
  • Epilepsy / etiology*
  • Female
  • Humans
  • Intracranial Embolism and Thrombosis / complications*
  • Male
  • Middle Aged
  • Status Epilepticus / etiology
  • Time Factors