Assessment of Early Versus late Post Stroke Seizures and its Relationship with Different Risk Factors in Patients at bhuj, Kutch-A Cross-Sectional Study

To know the occurrence of early versus late post stroke seizures, and its type and time of occurrence after the stroke as well as its relation with different type of stroke and location of the involvement and correlation with different risk factors along with to know occurrence early versus late post stroke seizures in young versus old stroke patients.

Present study was performed at Department of Medicine, Gujarat Adani Institute of Medical science, Bhuj, Kutch, Gujarat. All the patients with the diagnosis of post-stroke seizures were included. Those with known epilepsy, sepsis, electrolyte imbalance, patient having old stroke presenting with fresh stroke and any other reversible precipitating factors were excluded. Data collected regarding the age, co morbid conditions, details of seizures and radiological findings including type and location of stroke.

Total of 100 subjects with post-stroke seizures was included. Eighteen patients had young stroke (<45 years) whereas rest 82 patients had age > 45 years. Early post-stroke seizures were seen in 54% of patients. GTCS were the most common type of seizures seen in 72% patients. Sixty two percent of the patients had multiple episodes of seizures Comparison between early and late onset seizures revealed significant association between ischemic heart disease (IHD) and hypertension with late onset seizures (p < 0.05).

Post-stroke seizures were more frequent in males, older age with history of hypertension, and with cortical ischemic strokes. Early seizures, multiple episodes and generalized seizure type were more common. History of ischemic heart disease and hypertension showed a strong relationship with the occurrence of late onset seizures.