Seizures after Ischemic Stroke: A Matched Multicenter Study

Accidente cerebrovascular isquémico; Tratamiento de reperfusión; Factores de riesgo

Detalles Bibliográficos
Autores: Ferreira‑Atuesta, Carolina, Döhler, Nico, Erdélyi-Canavese, Barbara, Felbecker, Ansgar, Siebel, Philip, Scherrer, Natalie, Santamarina Pérez, Estevo, Alvarez Sabin, José, Abraira del Fresno, Laura
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/7667
Acceso en línea:https://hdl.handle.net/11351/7667
http://hdl.handle.net/11351/7667
Access Level:acceso abierto
Palabra clave:Malalties cerebrovasculars - Complicacions
Epilèpsia - Diagnòstic
Convulsions - Diagnòstic
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Brain Ischemia
Other subheadings::Other subheadings::Other subheadings::/complications
DISEASES::Nervous System Diseases::Neurologic Manifestations::Seizures
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Epilepsy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::isquemia cerebral
Otros calificadores::Otros calificadores::Otros calificadores::/complicaciones
ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::convulsiones
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::epilepsia
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oai_identifier_str oai:recercat.cat:11351/7667
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Seizures after Ischemic Stroke: A Matched Multicenter Study
title Seizures after Ischemic Stroke: A Matched Multicenter Study
spellingShingle Seizures after Ischemic Stroke: A Matched Multicenter Study
Ferreira‑Atuesta, Carolina
Malalties cerebrovasculars - Complicacions
Epilèpsia - Diagnòstic
Convulsions - Diagnòstic
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Brain Ischemia
Other subheadings::Other subheadings::Other subheadings::/complications
DISEASES::Nervous System Diseases::Neurologic Manifestations::Seizures
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Epilepsy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::isquemia cerebral
Otros calificadores::Otros calificadores::Otros calificadores::/complicaciones
ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::convulsiones
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::epilepsia
title_short Seizures after Ischemic Stroke: A Matched Multicenter Study
title_full Seizures after Ischemic Stroke: A Matched Multicenter Study
title_fullStr Seizures after Ischemic Stroke: A Matched Multicenter Study
title_full_unstemmed Seizures after Ischemic Stroke: A Matched Multicenter Study
title_sort Seizures after Ischemic Stroke: A Matched Multicenter Study
dc.creator.none.fl_str_mv Ferreira‑Atuesta, Carolina
Döhler, Nico
Erdélyi-Canavese, Barbara
Felbecker, Ansgar
Siebel, Philip
Scherrer, Natalie
Santamarina Pérez, Estevo
Alvarez Sabin, José
Abraira del Fresno, Laura
author Ferreira‑Atuesta, Carolina
author_facet Ferreira‑Atuesta, Carolina
Döhler, Nico
Erdélyi-Canavese, Barbara
Felbecker, Ansgar
Siebel, Philip
Scherrer, Natalie
Santamarina Pérez, Estevo
Alvarez Sabin, José
Abraira del Fresno, Laura
author_role author
author2 Döhler, Nico
Erdélyi-Canavese, Barbara
Felbecker, Ansgar
Siebel, Philip
Scherrer, Natalie
Santamarina Pérez, Estevo
Alvarez Sabin, José
Abraira del Fresno, Laura
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Ferreira-Atuesta C] Department of Clinical & Experimental Epilepsy, UCL Queen Square Institute of Neurology, Queen Square, London, United Kingdom. Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, United States. [Döhler N] Department of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland. Specialist Clinic for Neurorehabilitation, Kliniken Beelitz, Beelitz-Heilstätten, Germany. [Erdélyi-Canavese B, Felbecker A, Siebel P] Department of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland. [Scherrer N] Department of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland. [Abraira L, Santamarina E, Álvarez-Sabín J] Unitat d’Epilèpsia, Servei de Neurologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Malalties cerebrovasculars - Complicacions
Epilèpsia - Diagnòstic
Convulsions - Diagnòstic
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Brain Ischemia
Other subheadings::Other subheadings::Other subheadings::/complications
DISEASES::Nervous System Diseases::Neurologic Manifestations::Seizures
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Epilepsy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::isquemia cerebral
Otros calificadores::Otros calificadores::Otros calificadores::/complicaciones
ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::convulsiones
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::epilepsia
topic Malalties cerebrovasculars - Complicacions
Epilèpsia - Diagnòstic
Convulsions - Diagnòstic
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Brain Ischemia
Other subheadings::Other subheadings::Other subheadings::/complications
DISEASES::Nervous System Diseases::Neurologic Manifestations::Seizures
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Epilepsy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::isquemia cerebral
Otros calificadores::Otros calificadores::Otros calificadores::/complicaciones
ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::convulsiones
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::epilepsia
description Accidente cerebrovascular isquémico; Tratamiento de reperfusión; Factores de riesgo
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/7667
http://hdl.handle.net/11351/7667
url https://hdl.handle.net/11351/7667
http://hdl.handle.net/11351/7667
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Annals of Neurology;90(5)
https://doi.org/10.1002/ana.26212
dc.rights.none.fl_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869412630491299840
spelling Seizures after Ischemic Stroke: A Matched Multicenter StudyFerreira‑Atuesta, CarolinaDöhler, NicoErdélyi-Canavese, BarbaraFelbecker, AnsgarSiebel, PhilipScherrer, NatalieSantamarina Pérez, EstevoAlvarez Sabin, JoséAbraira del Fresno, LauraMalalties cerebrovasculars - ComplicacionsEpilèpsia - DiagnòsticConvulsions - DiagnòsticDISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Brain IschemiaOther subheadings::Other subheadings::Other subheadings::/complicationsDISEASES::Nervous System Diseases::Neurologic Manifestations::SeizuresDISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::EpilepsyENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::isquemia cerebralOtros calificadores::Otros calificadores::Otros calificadores::/complicacionesENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::convulsionesENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::epilepsiaAccidente cerebrovascular isquémico; Tratamiento de reperfusión; Factores de riesgoIschemic Stroke; Reperfusion treatment; Risk factorsAccident cerebrovascular isquèmic; Tractament de reperfusió; Factor de riscObjective The purpose of this study was to identify risk factors for acute symptomatic seizures and post-stroke epilepsy after acute ischemic stroke and evaluate the effects of reperfusion treatment. Methods We assessed the risk factors for post-stroke seizures using logistic or Cox regression in a multicenter study, including adults from 8 European referral centers with neuroimaging-confirmed ischemic stroke. We compared the risk of post-stroke seizures between participants with or without reperfusion treatment following propensity score matching to reduce confounding due to treatment selection. Results In the overall cohort of 4,229 participants (mean age 71 years, 57% men), a higher risk of acute symptomatic seizures was observed in those with more severe strokes, infarcts located in the posterior cerebral artery territory, and strokes caused by large-artery atherosclerosis. Strokes caused by small-vessel occlusion carried a small risk of acute symptomatic seizures. 6% developed post-stroke epilepsy. Risk factors for post-stroke epilepsy were acute symptomatic seizures, more severe strokes, infarcts involving the cerebral cortex, and strokes caused by large-artery atherosclerosis. Electroencephalography findings within 7 days of stroke onset were not independently associated with the risk of post-stroke epilepsy. There was no association between reperfusion treatments in general or only intravenous thrombolysis or mechanical thrombectomy with the time to post-stroke epilepsy or the risk of acute symptomatic seizures. Interpretation Post-stroke seizures are related to stroke severity, etiology, and location, whereas an early electroencephalogram was not predictive of epilepsy. We did not find an association of reperfusion treatment with risks of acute symptomatic seizures or post-stroke epilepsy.WileyInstitut Català de la Salut[Ferreira-Atuesta C] Department of Clinical & Experimental Epilepsy, UCL Queen Square Institute of Neurology, Queen Square, London, United Kingdom. Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, United States. [Döhler N] Department of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland. Specialist Clinic for Neurorehabilitation, Kliniken Beelitz, Beelitz-Heilstätten, Germany. [Erdélyi-Canavese B, Felbecker A, Siebel P] Department of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland. [Scherrer N] Department of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland. [Abraira L, Santamarina E, Álvarez-Sabín J] Unitat d’Epilèpsia, Servei de Neurologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, SpainVall d'Hebron Barcelona Hospital Campus202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/pdfhttps://hdl.handle.net/11351/7667http://hdl.handle.net/11351/7667Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésAnnals of Neurology;90(5)https://doi.org/10.1002/ana.26212Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/76672026-05-29T05:05:01Z
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