PMID- 28844159 OWN - NLM STAT- MEDLINE DCOM- 20180724 LR - 20180724 IS - 2169-5202 (Electronic) IS - 1550-0594 (Linking) VI - 48 IP - 6 DP - 2017 Nov TI - Do Video-EEG Monitoring Findings in ICU Patients With Acute Stroke Predict Development of Seizures and Survival During Follow-up? PG - 417-421 LID - 10.1177/1550059417727225 [doi] AB - PURPOSE: Ischemic or hemorrhagic stroke are among the most common causes of seizures, especially in the elderly. EEG is the only technique that can detect epileptiform abnormalities (EA) and nonconvulsive status epilepticus (NCSE), which may negatively affect recovery of these patients. Herein we aimed to investigate the potential predictive value of long-term EEG findings in terms of poststroke seizures (PSS) and survival, in stroke patients followed up in the neurological intensive care unit (NICU). METHODS: Video-EEG reports of stroke patients (ischemic and hemorrhagic) hospitalized between 2009 and 2014 in our NICU were reviewed. Patients with <2 months of survival were excluded. Follow-up data were obtained via telephone calls or patient charts. The correlation between EEG findings and early (1 week) occurrence, recurrent seizure development, outcome, and survival were analyzed statistically. RESULTS: Overall 50 patients (27 female, 23 male; age, 26-85 years) were included in the final analysis. Almost 60% developed PSS (~2/3 were early). There was no difference between ischemic versus hemorrhagic stroke patients ( P = .72). Recurrent seizures were more common in the late seizure group ( P < .001). EAs occurred in one-third of the study cohort. This finding did not predict seizure development ( P = .93) or survival ( P = .61). CONCLUSION: PSS are a frequent finding in stroke patients followed up in NICU. EAs are not uncommon, but do not predict seizure occurrence or survival. FAU - Onder, Halil AU - Onder H AD - 1 Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Arsava, Ethem Murat AU - Arsava EM AD - 1 Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Topcuoglu, Mehmet Akif AU - Topcuoglu MA AD - 1 Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Dericioglu, Nese AU - Dericioglu N AD - 1 Hacettepe University Faculty of Medicine, Ankara, Turkey. LA - eng PT - Journal Article DEP - 20170828 PL - United States TA - Clin EEG Neurosci JT - Clinical EEG and neuroscience JID - 101213033 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Critical Care/methods MH - *Electroencephalography/methods MH - Female MH - Follow-Up Studies MH - Humans MH - *Intensive Care Units MH - Male MH - Middle Aged MH - *Predictive Value of Tests MH - Seizures/mortality/*physiopathology MH - Status Epilepticus/diagnosis/mortality/*physiopathology MH - Stroke/mortality/physiopathology/therapy OTO - NOTNLM OT - antiepileptic drugs OT - prognosis OT - seizure OT - stroke OT - video-EEG monitoring EDAT- 2017/08/29 06:00 MHDA- 2018/07/25 06:00 CRDT- 2017/08/29 06:00 PHST- 2017/08/29 06:00 [pubmed] PHST- 2018/07/25 06:00 [medline] PHST- 2017/08/29 06:00 [entrez] AID - 10.1177/1550059417727225 [doi] PST - ppublish SO - Clin EEG Neurosci. 2017 Nov;48(6):417-421. doi: 10.1177/1550059417727225. Epub 2017 Aug 28.