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Titolo:
Can seizures be the only manifestation of transient ischemic attacks? A report of four cases
Autore:
Ferracci, F; Moretto, G; Gentile, M; Kuo, P; Carnevale, A;
Indirizzi:
Belluno Gen Hosp, Dept Neurol, I-32100 Belluno, Italy Belluno Gen Hosp Belluno Italy I-32100 pt Neurol, I-32100 Belluno, Italy Univ Texas, SW Med Sch, Dallas, TX 75230 USA Univ Texas Dallas TX USA 75230 iv Texas, SW Med Sch, Dallas, TX 75230 USA
Titolo Testata:
NEUROLOGICAL SCIENCES
fascicolo: 5, volume: 21, anno: 2000,
pagine: 303 - 306
SICI:
1590-1874(200010)21:5<303:CSBTOM>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
LATE-ONSET EPILEPSY; VASCULAR-DISEASE; STROKE; FREQUENCY;
Keywords:
epilepsy; transient brain attack; cerebrovascular disease;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Ferracci, F Belluno Gen Hosp, Dept Neurol, I-32100 Belluno, Italy Belluno Gen Hosp Belluno Italy I-32100 -32100 Belluno, Italy
Citazione:
F. Ferracci et al., "Can seizures be the only manifestation of transient ischemic attacks? A report of four cases", NEUROL SCI, 21(5), 2000, pp. 303-306

Abstract

Several studies have investigated the frequency of epileptic seizures following ischemic strokes and transient ischemic attacks (TIAs). Little attention has been paid to the possibility that seizures may be precipitated by TIAs. We examined if seizures can be the only symptom of a TIA and how oftenthis might occur. We performed a retrospective analysis of clinical chartsand electroencephalograms of 160 consecutive patients evaluated for a first-ever seizure from January 1997 to December 1999 at Belluno General Hospital. From January to May 2000, 19 more first-ever seizure patients were evaluated directly. Four patients (2%) had seizures in the presence of important risk factors for ischemic stroke (atrial fibrillation in two patients, atrial fibrillation and ventricular mural thrombus in one patient, hemodynamically significant left carotid stenosis in one patient). Seizures were not accompanied by other neurological deficits or brain lesions on CT or MRI. As risk factors for brain ischemia are frequent in the general population not developing seizures, our results do not prove that the occurrence of seizures was more than casual in these patients. Yet they indicate that in a small percentage of patients, seizures can occur in a context highly suggestive of TIA, with no other focal deficits.

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Documento generato il 27/05/20 alle ore 15:38:27