Volume 4, Issue 3, September 2020, Page: 66-70
Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu
Sounga Bandzouzi Prince Eliot Galieni, Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo; Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Mpandzou Ghislain Armel, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo; Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo
Ebelebe Evence Vital, Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo; Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Sounga Dufeil, Clinical Research Unit, Beauvais Hospital Center, Beauvais, France
Mialoudama Karl, Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo
Motoula Latou Dina Happhia, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo; Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo
Diatewa Josue, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo; Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo
Matali Edgard, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Obondzo Aloba Karen, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Koubemba Godefroy Charles, Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo
Ossou-Nguiet Paul Macaire, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo; Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo
Received: Aug. 26, 2020;       Accepted: Sep. 10, 2020;       Published: Sep. 23, 2020
DOI: 10.11648/j.cnn.20200403.15      View  56      Downloads  21
Abstract
Epilepsy and cerebrovascular accident (stroke) are two common conditions in neurology, the frequency of which increases with age. One of the most common comorbidities after a stroke is epilepsy; nearly 10% of stroke patients will have a seizure immediately or later. The aim of study was to describe the epidemiological, clinical, electrical and evolutionary aspects of post-stroke crises at the Brazzaville University Hospital. This was a cross-sectional study carried out from March 1 to September 30, 2018 in the neurology department of the University Hospital of Brazzaville. It focused on patients over 18 years of age hospitalized for a seizure following a stroke documented by imaging. The epidemiological, electroclinical and therapeutic variables were evaluated. 322 patients hospitalized for stroke, 62 (15.5%) presented with seizures following the vascular event. Men were more affected (57%). The median time to onset of seizures was 2478 days (6.8 years) after stroke. These attacks were early in 69.4% of cases, and most often focal (37.1%). The epileptic seizures were related to the arterial infarctions in 79% of the cases and the abnormalities found on the EEG tracing were consistent with the location of the vascular lesion in 63.6% of the cases. The death rate was 14.5%. The predictive factors of this mortality were: the late onset of epileptic seizures (p=0.048), the presence of hyperglycemia (p=0.006) and the absence of a return to a normal state of consciousness (p<0.001). Post-stroke epileptic seizures are frequent in our region. Secondary prevention of stroke would help reduce the occurrence of strokes and therefore epileptic seizures
Keywords
Epileptic Seizures, Stroke, Brazzaville University Hospital
To cite this article
Sounga Bandzouzi Prince Eliot Galieni, Mpandzou Ghislain Armel, Ebelebe Evence Vital, Sounga Dufeil, Mialoudama Karl, Motoula Latou Dina Happhia, Diatewa Josue, Matali Edgard, Obondzo Aloba Karen, Koubemba Godefroy Charles, Ossou-Nguiet Paul Macaire, Post-Stroke Epileptic Crises: Profile of Patients at Brazzaville Chu, Clinical Neurology and Neuroscience. Vol. 4, No. 3, 2020, pp. 66-70. doi: 10.11648/j.cnn.20200403.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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