Risk of epilepsy in long-term survivors of surgery for aneurysmal subarachnoid hemorrhage: a population-based study in Iceland.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationEpilepsia. 2000, 41(9):1201-5
AbstractPURPOSE: Epilepsy is known to result from aneurysmal subarachnoid hemorrhage (SAH). There are no population-based estimates of the absolute risk or the duration for which this risk is elevated. We have conducted a population-based study in Iceland of the risk of epilepsy after a ruptured cerebral aneurysm to address these questions. METHODS: The index patients are all of the patients who presented with SAH caused by ruptured cerebral aneurysm in Iceland during an 11-year period (1958 to 1968) and survived more than 6 months. We determined the number of index patients who developed epilepsy. The observed number of cases of epilepsy was compared with that expected based on the incidence of epilepsy in Iceland. RESULTS: There were 44 index patients; 11 (25%) developed epilepsy, all within 4 years of the insult. Seven (70%) of 10 patients with acute symptomatic seizures (defined as seizures during the first 2 weeks after the hemorrhage) developed epilepsy (relative risk, 7.0; 95% confidence interval, 2.3-21.6). Epilepsy was more frequent in patients with severe neurological residua (48%) compared with patients without (20%) (relative risk, 2.5; 95% confidence interval, 0.9-6.3). CONCLUSIONS: The risk for epilepsy among survivors of SAH caused by ruptured cerebral aneurysm is substantially increased. Both acute symptomatic seizure and persistent neurological impairment are associated with a further increase in the risk of epilepsy.
DescriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links field
- Characterization of perioperative seizures and epilepsy following aneurysmal subarachnoid hemorrhage.
- Authors: Lin CL, Dumont AS, Lieu AS, Yen CP, Hwang SL, Kwan AL, Kassell NF, Howng SL
- Issue date: 2003 Dec
- Epilepsy after aneurysmal subarachnoid hemorrhage: A population-based, long-term follow-up study.
- Authors: Huttunen J, Kurki MI, von Und Zu Fraunberg M, Koivisto T, Ronkainen A, Rinne J, Jääskeläinen JE, Kälviäinen R, Immonen A
- Issue date: 2015 Jun 2
- Hypertension as a risk factor for epilepsy after aneurysmal subarachnoid hemorrhage and surgery.
- Authors: Ohman J
- Issue date: 1990 Oct
- Late epilepsy following open surgery for aneurysmal subarachnoid haemorrhage.
- Authors: Buczacki SJ, Kirkpatrick PJ, Seeley HM, Hutchinson PJ
- Issue date: 2004 Nov
- Neurological outcomes following intraprocedural rerupture during coil embolization of ruptured intracranial aneurysms.
- Authors: Stapleton CJ, Walcott BP, Butler WE, Ogilvy CS
- Issue date: 2015 Jan