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AES 2022 | Predicting post-stroke epilepsy occurrence

Carolina Ferreira-Atuesta, MD, MSc, Icahn School of Medicine at Mount Sinai, New York, NY, discusses the occurrence of acute symptomatic seizures and post-stroke epilepsy after acute ischemic stroke. Stroke is the leading cause of seizures and epilepsy in older adults and thus, determining optimal prediction tools, treatments, and follow-up protocols for these patients is of great importance. Several risk factors for post-stroke epilepsy are well recognized, including cortical stroke involvement and acute symptomatic seizure occurrence. Ongoing studies are using EEG and neuroimaging to define further predictive features. Some evidence shows that stroke volume, posterior location, middle cerebral artery (MCA) stroke, and early EEG biomarkers can predict seizure occurrence. More studies are needed to validate these findings. This interview took place at the American Epilepsy Society (AES) Annual Meeting 2022 in Nashville, TN.

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