Post-Stroke Epilepsy within a Teaching Hospital in Cotonou, Benin
- 1 Department of Neurology, National University Hospital Centre, Cotonou, Bénin
- 2 Department of Neurology, National University Hospital Centre, Cotonou, Bénin
- 3 Department of Neurology, National University Hospital Centre, Parakou, Bénin
- 4 Department of Neurology, National University Hospital Centre, Parakou, Bénin
- 5 Department of Neurology, National University Hospital Centre, Cotonou, Bénin
- 6 Department of Neurology, National University Hospital Centre, Cotonou, Bénin
- 7 Department of Neurology, National University Hospital Centre, Cotonou, Bénin
Abstract
Seizures occurring after stroke are risk factors for the onset of ensuing epilepsy. However, the incidence of vascular epilepsy is low. The purpose of this study was to study vascular epilepsy features in a teaching university. It was a retrospective, descriptive and analytical study, conducted from 1 st January 2015 to 31 st December 2016 in Cotonou Teaching Hospital (CNHU-HKM), Benin. It involved 35 patients brought together through comprehensive sampling. Vascular epilepsy hospital attendance rate was 2%. There were simple partial seizures in 74.28% of cases while cerebral ischemia was recorded in 44.44% of patients. Neurological consultation after stroke occurrence was a protective factor against the occurrence of vascular epilepsy with significant p at 0.001.
- Hamidou, B., Aboa-Eboulé, C., Durier, J., Jacquin, A., Lemesle-Martin, M., Giroud, M., et al. (2013) Prognostic Value of Early Epileptic Seizures on Mortality and Functional Disability in Acute Stroke: The Dijon Stroke Registry (1985-2010). Journal of Neurology, 260, 1043-1051. https://doi.org/10.1007/s00415-012-6756-3
- Brodie, M.J. and Kwan, P. (2005) Epilepsy in Elderly People. BMJ, 331, 1317-1322. https://doi.org/10.1136/bmj.331.7528.1317
- Lamy, C., Domigo, V., Semah, F., Arquizan, C., Trystram, D., Coste, J., et al. (2003) Early and Late Seizures after Cryptogenic Ischemic Stroke in Young Adults. Neurology, 60, 400-404. https://doi.org/10.1212/WNL.60.3.400
- Loiseau, J., Loiseau, P., Duché, B., Guyot, M., Dartigues, J.F. and Aublet, B. (1990) A Survey of Epileptic Disorders in Southwest France: Seizures in Elderly Patients. Annals of Neurology, 27, 232-237. https://doi.org/10.1002/ana.410270304
- Hauser, W.A., Annegers, J.F. and Kurland, L.T. (1996) Incidence of Epilepsy and Unprovoked Seizures in Rochester, Minnesota: 1935-1984. Epilepsia, 34, 453-468. https://doi.org/10.1111/j.1528-1157.1993.tb02586.x
- Leys, D. (2003) Ischemic Strokes in Young Adults. La Revue de Médecine Interne, 24, 585-593. https://doi.org/10.1016/S0248-8663(03)00071-7
- Dupont, S. and Baulac, M. (2004) Contribution of MRI to the Exploration of Partial Refractory Epilepsy. Revue Neurologique, 160, 5S91-5897. https://doi.org/10.1016/S0035-3787(04)71187-X
- Bladin, C.F., Alexandrov, A.V., Bellavance, A., Bornstein, N., Chambers, B., Coté, R., et al. (2000) Seizures after Stroke: A Prospective Multicenter Study. Archives of Neurology, 57, 1617-1622. https://doi.org/10.1001/archneur.57.11.1617
- Camilo, O. and Goldstein, L.B. (2004) Seizures and Epilepsy after Ischemic Stroke. Stroke, 35, 1769-1775. https://doi.org/10.1161/01.STR.0000130989.17100.96
- Ferro, J.M. and Pinto, F. (2004) Poststroke Epilepsy: Epidemiology, Pathophysiology and Management. Drugs Aging, 21, 639-653. https://doi.org/10.2165/00002512-200421100-00003
- Daniele, O., Mattaliano, A., Tassinari, C.A. and Natalè, E. (1989) Epileptic Seizures and Cerebrovascular Disease. Acta Neurologica Scandinavica, 80, 17-22. https://doi.org/10.1111/j.1600-0404.1989.tb03836.x
- Szaflarski, J.P., Kay, B., Gotman, J., Privitera, M.D. and Holland, S.K. (2013) The Relationship between the Localization of the Generalized Spike and Wave Discharge Generators and the Response to Valproate. Epilepsia, 54, 471-480. https://doi.org/10.1111/epi.12062