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Epileptic Seizures After a First Stroke:The Oxfordshire Community Stroke Project BMJ 315:1582-1587, Burn,J.,et al, 1997 See this aricle in Pubmed Article Abstract 52 patients had one or most post stroke seizures;in 25 the seizures were recurrent.The 5 year actuarial risk of a post stroke seizure in survivors (excluding 19 patients with a history of epilepsy and 3 patients in whom the seizure occurred shortly before death from another cause)was 11.5%(95% confidence interval 48.8%to 18.2%).The relative risk of seizures in comparison with the general population,was estimated at 35.2 in the first year after stroke and 19.0 in year 2.The risk of seizures was increased in survivors of subarachnoid and intracerebral hemorrhage(hazard ratio for intracranial hemorrhage vs cerebral infarction 10.2(3.7 to 27.9)).The risk of seizures after ischemic stroke was substantial only in patients presenting with severe strokes due to total anterior circulation infarction.Only 9 of 295 patients(3%)independent one month after stroke suffered a seizure between one month and five years.Stroke patients have about an 11.5%risk of single or recurrent seizures in the first five years after a stroke.Patients with more severe strokes or hemorrhagic strokes are at higher risk.

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(click to filter results - removes previous filter) cerebral infarction cerebral infarction,hemorrhagic cerebrovascular accident cerebrovascular accident,seizure with cerebrovascular accident,severity seizure

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