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Titolo:
Risk of unprovoked seizure after acute symptomatic seizure: Effect of status epilepticus
Autore:
Hesdorffer, DC; Logroscino, G; Cascino, G; Annegers, JF; Hauser, WA;
Indirizzi:
Columbia32niv Coll Phys & Surg, Gertrude H Sergievsky Ctr, New York, NY 100 Columbia Univ Coll Phys & Surg New York NY USA 10032 tr, New York, NY 100 Columbia Univ, Dept Neurol, New York, NY USA Columbia Univ New York NY USA lumbia Univ, Dept Neurol, New York, NY USA Columbia Univ, Div Epidemiol, New York, NY USA Columbia Univ New York NY USA mbia Univ, Div Epidemiol, New York, NY USA Osped Miulli Acquaviva, Div Neurol, Bari, Italy Osped Miulli Acquaviva Bari Italy li Acquaviva, Div Neurol, Bari, Italy Mayo Clin & Mayo Fdn, Dept Neurol, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn Rochester MN USA 55905 urol, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn, Dept Hlth Sci Res, Rochester, MN 55905 USA Mayo Clin& Mayo Fdn Rochester MN USA 55905 Res, Rochester, MN 55905 USA Univ Texas, Sch Publ Hlth, Houston, TX USA Univ Texas Houston TX USAUniv Texas, Sch Publ Hlth, Houston, TX USA
Titolo Testata:
ANNALS OF NEUROLOGY
fascicolo: 6, volume: 44, anno: 1998,
pagine: 908 - 912
SICI:
0364-5134(199812)44:6<908:ROUSAA>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
ROCHESTER; MINNESOTA; EPILEPSY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Hesdorffer, DC ColumbiaNewiv Coll Phys & Surg, Gertrude H Sergievsky Ctr, 622 W 168th St, Columbia Univ Coll Phys & Surg 622 W 168th St New York NY USA 10032
Citazione:
D.C. Hesdorffer et al., "Risk of unprovoked seizure after acute symptomatic seizure: Effect of status epilepticus", ANN NEUROL, 44(6), 1998, pp. 908-912

Abstract

We asked whether acute symptomatic status epilepticus (SE) increases the risk for subsequent unprovoked seizure compared with less prolonged acute symptomatic seizure. We also explored whether the risk of unprovoked seizure differs by cause. We ascertained all first episodes of acute symptomatic seizure among residents of Rochester, Minnesota, through the Rochester Project's records-linkage system. Information was collected on seizure duration, age, sex, cause, and subsequent unprovoked seizure. At 10 years of follow-up, the risk of unprovoked seizure was 41% for those with acute symptomatic seizure with SE and 13% for those without SE. Controlling for age, sex, andcause, SE increased the risk for subsequent unprovoked seizure 3.3-fold (95% confidence interval, 1.8-6.1) compared with brief acute symptomatic seizures. Among patients with SE, the risk of unprovoked seizure was increased 18.8-fold for patients with anoxic encephalopathy, 7.1-fold for patients with a structural cause, 3.6-fold for patients with a metabolic cause. The increased risk for unprovoked seizure after SE compared with shorter seizuresmay be due to SE being a marker for severity of injury, damage caused by SE, or a biological substrate associated with the tendency to experience SE.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 14:12:38