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seizure_after_aneurysmal_subarachnoid_hemorrhage

Seizure after aneurysmal subarachnoid hemorrhage

Epidemiology

Literature has reported seizure rates to be as high as 27% in this population 1).

More recently published studies have found seizure rates to be significantly lower than previously described (1–10%) 2) 3).

Complications

Seizure activity has been associated with secondary neurologic injury including reduced cerebral blood flow and intracranial hypertension 4).

Prohylaxis

1)
Lin YJ, Chang WN, Chang HW, Ho JT, Lee TC, Wang HC, Tsai NW, Tsai MH, Lu CH. Risk factors and outcome of seizures after spontaneous aneurysmal subarachnoid hemorrhage. Eur J Neurol. 2008 May;15(5):451-7. doi: 10.1111/j.1468-1331.2008.02096.x. Epub 2008 Mar 5. PubMed PMID: 18325027.
2)
Rosengart AJ, Huo JD, Tolentino J, Novakovic RL, Frank JI, Goldenberg FD, Macdonald RL. Outcome in patients with subarachnoid hemorrhage treated with antiepileptic drugs. J Neurosurg. 2007 Aug;107(2):253-60. PubMed PMID: 17695377.
3)
Chumnanvej S, Dunn IF, Kim DH. Three-day phenytoin prophylaxis is adequate after subarachnoid hemorrhage. Neurosurgery. 2007 Jan;60(1):99-102; discussion 102-3. PubMed PMID: 17228257.
4)
Rhoney DH, Tipps LB, Murry KR, Basham MC, Michael DB, Coplin WM. Anticonvulsant prophylaxis and timing of seizures after aneurysmal subarachnoid hemorrhage. Neurology. 2000 Jul 25;55(2):258-65. PubMed PMID: 10908901.
seizure_after_aneurysmal_subarachnoid_hemorrhage.txt · Last modified: 2017/09/07 15:52 by administrador