Clinical Study

Analysis of Risk Factors for First Seizure after Stroke in Chinese Patients

Table 1

Characteristics of patients with poststroke seizure at baseline.

CharacteristicsEarly seizure ( )Late seizure ( )
% %

Signs and symptoms
 Headache17(13.8)11(10.1)
 Dizziness11(8.9)3(2.8)
 Nausea, vomiting9(7.3)0(0)
 Altered consciousness21(17.1)0(0)
 Speech deficits36(29.3)15(13.8)
 Cranial nerve palsy89(72.4)57(52.3)
 Limb paresis89(72.4)82(75.2)
 Hemianopia5(4.1)1(0.9)
 Ataxia18(14.6)8(7.3)
 Hemihypesthesia67(54.5)62(56.9)
EEG
 Diffuse slowing51(41.5)16(14.7)
 Focal slowing21(17.1)29(26.6)
 Epileptiform activity
  Ictal activity11(8.9)9(8.3)
  Focal sharp and slow waves13(10.6)22(20.2)
  Focal spikes & slow waves18(14.6)2(1.8)
  Focal sharp waves5(4.1)13(11.9)
  Focal spike waves3(2.4)11(10.1)
  PLEDs1(0.8)7(6.4)
Seizure type
 Secondarily generalized tonic-clonic seizures43(35.0)37(34.0)
 Simple partial seizures23(18.7)54(49.5)
 Complex partial & tonic-clonic seizures57(46.3)18(16.5)
Stroke types
 Cerebral infarction48 (39.0%)48(44.0%)
 Cerebral hemorrhage45 (36.6%)47(43.1%)
 Hemorrhagic infarction2 (1.6%)3(2.8%)
 Cerebral hemorrhage with cerebral infarction2 (1.6%)2(1.8%)
 Subarachnoid hemorrhage26 (21.1%)9(8.3%)
Lesion location on CT
 Cortical area48(39.0)51(46.8)
 Subcortical area26(21.1)14(12.8)
 Cerebellum0(0)1(0.9)
 Brain stem0(0)0(0)
 Multiple sites49(39.9)43(39.5)
Lobe of lesion*
 Frontal41(33.3)33(30.5)
 Parietal38(30.9)35(32.4)
 Occipital15(12.2)12(11.1)
 Temporal29(23.6)28(25.9)

PLEDs: periodic lateralized epileptiform discharges. *One patient with late seizure had cerebellar stroke.