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SE was recognized in 31 patients (19%). In 17 patients, SE was the first epileptic symptom (initial SE), and in 4 patients, stroke began with SE (S-SE). In the 14 remaining patients, SE occurred after one or more seizure(s). After a me an follow-up period of 47 months, neurologic deterioration occurred after SE in 15 patients. This deterioration was permanent in two patients. Fifteen patients died; in five patients, death was directly related to SE. Eight of the 17 patients with init ial SE and all 14 patients with SE after one or more seizure(s) developed other seizures of SE. S-Se, however, was not a predictive factor for additional seizure(s). Status epilepticus is common among patients with poststroke seizures. Although the imme diate prognosis of patients with status epilepticus is poor, status epilepticus as the presenting sign did not necessarily predict subsequent epilepsy. |
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