Wen LM, Li R, Wang YL, Kong QX, Xia M. Electroencephalogram findings in 10 patients with post-stroke epilepsy: A retrospective study. World J Clin Cases 2024; 12(2): 249-255 [PMID: 38313653 DOI: 10.12998/wjcc.v12.i2.249]
Corresponding Author of This Article
Min Xia, MD, Doctor, Department of Neurology, Affiliated Hospital of Jining Medical University, No. 89 Guhuai Road, Rencheng District, Jining 272007, Shandong Province, China. xiaminyy1982@163.com
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 16, 2024; 12(2): 249-255 Published online Jan 16, 2024. doi: 10.12998/wjcc.v12.i2.249
Electroencephalogram findings in 10 patients with post-stroke epilepsy: A retrospective study
Li-Min Wen, Ran Li, Yan-Ling Wang, Qing-Xia Kong, Min Xia
Li-Min Wen, Clinical Medicine College, Jining Medical University, Jining 272067, Shandong Province, China
Ran Li, School of Basic Medical Sciences, Shandong University, Jinan 250012, Shandong Province, China
Yan-Ling Wang, Qing-Xia Kong, Min Xia, Department of Neurology, The Affiliated Hospital of Jining Medical University, Jining 272007, Shandong Province, China
Co-first authors: Li-Min Wen and Ran Li.
Author contributions: Wen LM and Li R contributed equally to this work; Xia M revised the manuscript; Wang YL and Kong QX provided all kinds of support; all authors have read and approve the final manuscript.
Supported byResearch Fund for Lin He’s Academician Workstation of New Medicine and Clinical Translation in Jining Medical University, No. JYHL2019FMS25; and The Key Research and Development Program of Jining, No. 2022YXNS028.
Institutional review board statement: The study was reviewed and approved by the Affiliated Hospital of Jining Medical University Institutional Review Board (Approval No. 2021-09-C081).
Informed consent statement: Patients were not required to provide informed consent for the study because the analysis used anonymous clinical data that were obtained after each patient or their representative family members agreed to the treatment by written consent.
Conflict-of-interest statement: All authors declare that there is no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Min Xia, MD, Doctor, Department of Neurology, Affiliated Hospital of Jining Medical University, No. 89 Guhuai Road, Rencheng District, Jining 272007, Shandong Province, China. xiaminyy1982@163.com
Received: September 19, 2023 Peer-review started: September 19, 2023 First decision: October 24, 2023 Revised: November 7, 2023 Accepted: December 22, 2023 Article in press: December 22, 2023 Published online: January 16, 2024 Processing time: 113 Days and 13.2 Hours
Abstract
BACKGROUND
Post-stroke epilepsy is a common and easily overlooked complication of acute cerebrovascular disease. Long-term seizures can seriously affect the prognosis and quality of life of patients. Electroencephalogram (EEG) is the simplest way to diagnose epilepsy, and plays an important role in predicting seizures and guiding medication.
AIM
To explore the EEG characteristics of patients with post-stroke epilepsy and improve the detection rate of inter-seizure epileptiform discharges.
METHODS
From January 2017 to June 2020, 10 patients with post-stroke epilepsy in our hospital were included. The clinical, imaging, and EEG characteristics were collected. The stroke location, seizure type, and ictal and interictal EEG manifestations of the patients with post-stroke epilepsy were then retrospectively analyzed.
RESULTS
In all 10 patients, epileptiform waves occurred in the side opposite to the stroke lesion during the interictal stage; these manifested as sharp wave, sharp-wave complex, or spike discharges in the anterior head lead of the side opposite to the lesion.
CONCLUSION
In EEG, epileptiform waves can occur in the side opposite to the stroke lesion in patients with post-stroke epilepsy.
Core Tip: Post-stroke epilepsy refers to epileptic seizures occurring after stroke in patients without a history of epilepsy or any brain or systemic disease causes. Post-stroke epilepsy can occur any time after stroke. The most common type of post-stroke epilepsy is focal or tonic-clonic seizures, which then progress to bilateral clonic seizures. The present study retrospectively analyzed the electroencephalogram characteristics of 10 patients with post-stroke epilepsy; these mainly manifested as epilepsy-like waves on the side opposite to the stroke lesion during the intervals between seizures.
