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Brief Report

Early-Onset Seizures Are Correlated With Late-Onset Seizures in Children With Arterial Ischemic Stroke

Chen-Jui Hsu, Wen-Chin Weng, Steven Shinn-Feng Peng, Wang-Tso Lee
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https://doi.org/10.1161/STROKEAHA.113.004015
Stroke. 2014;45:1161-1163
Originally published March 24, 2014
Chen-Jui Hsu
From the Department of Pediatrics, En Chu Kong Hospital, Taipei, Taiwan (C.-J.H.); and Departments of Pediatrics (W.-C.W., W.-T.L.) and Diagnostic Imaging (S.S.-F.P.), National Taiwan University Hospital, Taipei, Taiwan.
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Wen-Chin Weng
From the Department of Pediatrics, En Chu Kong Hospital, Taipei, Taiwan (C.-J.H.); and Departments of Pediatrics (W.-C.W., W.-T.L.) and Diagnostic Imaging (S.S.-F.P.), National Taiwan University Hospital, Taipei, Taiwan.
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Steven Shinn-Feng Peng
From the Department of Pediatrics, En Chu Kong Hospital, Taipei, Taiwan (C.-J.H.); and Departments of Pediatrics (W.-C.W., W.-T.L.) and Diagnostic Imaging (S.S.-F.P.), National Taiwan University Hospital, Taipei, Taiwan.
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Wang-Tso Lee
From the Department of Pediatrics, En Chu Kong Hospital, Taipei, Taiwan (C.-J.H.); and Departments of Pediatrics (W.-C.W., W.-T.L.) and Diagnostic Imaging (S.S.-F.P.), National Taiwan University Hospital, Taipei, Taiwan.
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Abstract

Background and Purpose—Early-onset seizures are common in children with arterial ischemic stroke, but the clinical features and effects on the outcome of early-onset seizures have been less studied in children.

Methods—Children aged 1 month to 18 years presenting with first-time and image-confirmed arterial ischemic stroke were identified for analysis.

Results—A total of 78 survivors of arterial ischemic stroke were enrolled. Twenty (25.6%) had early-onset seizures, and 90% were initial presentation. Younger children (mean, 3.4±3.9 versus 9.0±6.2 years; P<0.001) and cortical involvement (5% versus 63.8%; P=0.01) are more likely to have early-onset seizures. Thirteen of 20 survivors with early-onset seizures had late-onset seizures after the acute stage, and 12 of them were diagnosed as poststroke epilepsy.

Conclusions—Early-onset seizures occurred in 25.6% of children with arterial ischemic stroke. Younger age and cortical involvement were risk factors for early-onset seizures. Sixty-five percent of children with early-onset seizures had late-onset seizures after the acute stage.

  • children
  • epilepsy
  • seizures
  • stroke
  • Received November 4, 2013.
  • Accepted January 22, 2014.
  • © 2014 American Heart Association, Inc.
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April 2014, Volume 45, Issue 4
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    Early-Onset Seizures Are Correlated With Late-Onset Seizures in Children With Arterial Ischemic Stroke
    Chen-Jui Hsu, Wen-Chin Weng, Steven Shinn-Feng Peng and Wang-Tso Lee
    Stroke. 2014;45:1161-1163, originally published March 24, 2014
    https://doi.org/10.1161/STROKEAHA.113.004015

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    Early-Onset Seizures Are Correlated With Late-Onset Seizures in Children With Arterial Ischemic Stroke
    Chen-Jui Hsu, Wen-Chin Weng, Steven Shinn-Feng Peng and Wang-Tso Lee
    Stroke. 2014;45:1161-1163, originally published March 24, 2014
    https://doi.org/10.1161/STROKEAHA.113.004015
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