ArticleWorld journal of psychiatry2025
Seizure recurrence after first epileptic episode in ischemic stroke: Risk factors and their association with cognition and mood.
Article in World journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
backgroundIschemic stroke (IS) survivors face an elevated risk of epileptic seizures, and recurrent seizures following the first episode often signal worsening functional outcomes.
aimTo investigate risk factors associated with seizure recurrence after a first episode in patients with IS and explore their associations with cognitive function, anxiety, and depression.
methodsA total of 100 patients with IS admitted to Shaanxi Provincial People's Hospital between January 2017 and January 2024 were enrolled in this study. After a 1-5-year follow-up, patients were categorized into recurrence (
resultsRecurrent seizures were significantly associated with age, stroke severity (National Institutes of Health Stroke Scale), late-onset seizures, electroencephalogram abnormalities, cortical involvement, hemorrhagic infarction, and extensive cerebral infarctions, with late-onset seizures, cortical involvement, and hemorrhagic infarction serving as independent predictors. The risk model revealed an area under the curve of 0.732, with 88.37% specificity and 42.11% sensitivity. These three were also correlated with lower MoCA scores and higher SAS and SDS scores.
conclusionIn patients with IS, recurrent seizures after the first episode can be independently predicted by late-onset seizures, cortical involvement, and hemorrhagic cerebral infarction-factors also correlating with cognitive impairment and emotional distress. These findings underscore the need for close clinical monitoring and targeted interventions (
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