Evaluation of Seizure Attacks in Patients with Cerebrovascular Accident


Ebrahim Koochaki 1 , Reza Daneshvar kakhki 1 , *

1 Department of Neurology, Kashan University of Medical Science, Kashan, Iran

How to Cite: Koochaki E, Daneshvar kakhki R. Evaluation of Seizure Attacks in Patients with Cerebrovascular Accident, Zahedan J Res Med Sci. 2013 ; 15(4):e93000.


Zahedan Journal of Research in Medical Sciences: 15 (4); e93000
Published Online: November 05, 2012
Article Type: Research Article
Received: October 09, 2011
Accepted: January 18, 2012


Background : The most common reason for seizure in elderly duration is the stroke. This study was conducted aiming to assess the frequency of seizure attack occurrence in those patients.
Materials and Methods : This investigation was carried out through a cross-sectional method for one year on 330 patients admitted to the neurology ward as diagnosed with stroke. The required data was collected through the researcher-made questionnaire from the patients suffering from stoke which was diagnosed based on clinical findings, CT-Scan and MRI as required.
Results : Among 330 patient suffering from stroke (162 men and 168 women), 48 cases (14.5%) were suffering from seizure. Six percent of the patients had early seizure and another 8.5% had late seizure. Among 162 men suffering from the stroke, 32 ones were without seizures and 30 men were suffering the seizure. A number of 150 women out of total 168 ones suffering from the stroke, had no seizure and 18 others had seizures frequency of seizure occurrence was more in male samples (p=0.044). In the people under 60 year, there were mostly early types of seizure (45%) and in the age range above 60 year, it was mostly late type (89.3%). A 68.5% of the patients suffering from the seizure had experienced ischemic stroke. However, the frequency of seizure occurrence in the patients with hemorrhagic stroke was statistically greater (p=0.003).
Conclusion : This examination showed that occurrence of seizure attacks in the people with stroke is 14.5% and it is seen more in the hemorrhagic strokes than ischemic ones. The frontoparietal area is the most common location involved and tonic clonic was the most common seizure in the patients suffering from it who have experienced the stroke. 


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