TY - JOUR
T1 - Poststroke late seizures and their role in rehabilitation of inpatients
AU - Paolucci, Stefano
AU - Silvestri, Giulia
AU - Lubich, Sergio
AU - Pratesi, Luca
AU - Traballesi, Marco
AU - Gigli, Gian Luigi
PY - 1997
Y1 - 1997
N2 - Purpose: This study was designed to (a) identify the prevalence of poststroke late seizures in a population of patients admitted to rehabilitation of neurologic sequelae of their first stroke, (b) recognize reliable prognostic factors associated with the occurrence of poststroke late seizures, and (c) evaluate the impact of seizures on the results of rehabilitation treatment. Method: In a prospective study of 306 consecutive patients admitted to a rehabilitation hospital for sequelae of their first stroke, we assessed the relation among 15 independent variables and the development of seizures by using multiple regression analysis (forward stepwise). In addition, we evaluated the impact of occurrence of poststroke seizures on both efficiency and effectiveness of rehabilitation and length of stay. Results: Poststroke late seizures occurred in 46 (15.03%) patients, with a mean interval from stroke of 101.98 ± 37.96 days. In multiple regression analysis, putaminal and lobar hemorrhages showed a significant positive association with the development of seizures (p <0.005), whereas high scores on the Canadian Neurological Scale (CNS) (indicating less severe strokes) and increasing age were negatively associated (p <0.01 and p <0.05, respectively). Patients with putaminal and lobar hemorrhages and patients with severe stroke (CNS score at admission,
AB - Purpose: This study was designed to (a) identify the prevalence of poststroke late seizures in a population of patients admitted to rehabilitation of neurologic sequelae of their first stroke, (b) recognize reliable prognostic factors associated with the occurrence of poststroke late seizures, and (c) evaluate the impact of seizures on the results of rehabilitation treatment. Method: In a prospective study of 306 consecutive patients admitted to a rehabilitation hospital for sequelae of their first stroke, we assessed the relation among 15 independent variables and the development of seizures by using multiple regression analysis (forward stepwise). In addition, we evaluated the impact of occurrence of poststroke seizures on both efficiency and effectiveness of rehabilitation and length of stay. Results: Poststroke late seizures occurred in 46 (15.03%) patients, with a mean interval from stroke of 101.98 ± 37.96 days. In multiple regression analysis, putaminal and lobar hemorrhages showed a significant positive association with the development of seizures (p <0.005), whereas high scores on the Canadian Neurological Scale (CNS) (indicating less severe strokes) and increasing age were negatively associated (p <0.01 and p <0.05, respectively). Patients with putaminal and lobar hemorrhages and patients with severe stroke (CNS score at admission,
KW - Epilepsy
KW - Rehabilitation
KW - Stroke
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U2 - 10.1111/j.1528-1157.1997.tb01115.x
DO - 10.1111/j.1528-1157.1997.tb01115.x
M3 - Article
C2 - 9070586
AN - SCOPUS:0030945807
VL - 38
SP - 266
EP - 270
JO - Epilepsia
JF - Epilepsia
SN - 0013-9580
IS - 3
ER -