PMID- 29880553 OWN - NLM STAT- MEDLINE DCOM- 20190826 LR - 20220318 IS - 1524-4628 (Electronic) IS - 0039-2499 (Linking) VI - 49 IP - 7 DP - 2018 Jul TI - Nonconvulsive Status Epilepticus in Acute Intracerebral Hemorrhage. PG - 1759-1761 LID - 10.1161/STROKEAHA.118.021414 [doi] AB - BACKGROUND AND PURPOSE: Patients with acute intracerebral hemorrhages (ICHs) often develop nonconvulsive status epilepticus (NCSE). We aimed to identify determinants and the prognostic significance of NCSE among patients with acute ICH. METHODS: Consecutive patients with acute spontaneous ICH who were admitted to a comprehensive stroke center were enrolled. We diagnosed NCSE using the modified Salzburg Consensus Criteria. Factors associated with NCSE and their significance in relation to clinical outcomes were assessed using multivariate logistic regression models. RESULTS: Of 228 patients (136 men; mean age, 68+/-14 years), 20 (8.8%) developed NCSE during their hospital stays. In logistic regression models, the adjusted odds ratios (95% confidence intervals) for NCSE were 3.5 (1.2-10.7) for craniotomy and 7.0 (2.2-31.2) for lobar involvement. The patients with NCSE had higher modified Rankin Scale scores at discharge, but NCSE was not independently associated with poor functional outcomes (modified Rankin Scale score, 4-5) or mortality after adjusting for confounders. CONCLUSIONS: NCSE is not a rare complication of acute ICH. Craniotomy and lobar involvement are independently associated with NCSE in patients with acute ICH. CI - (c) 2018 American Heart Association, Inc. FAU - Matsubara, Soichiro AU - Matsubara S AD - From the Stroke and Epilepsy Center, TMG Asaka Medical Center, Asaka, Saitama, Japan (S.M., T.K., S.E., H.N., Y.K.) matsubara-soichiro@umin.ac.jp. AD - Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (S.M., S.S., K.T). FAU - Sato, Shoichiro AU - Sato S AD - Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (S.M., S.S., K.T). FAU - Kodama, Tomohiro AU - Kodama T AD - From the Stroke and Epilepsy Center, TMG Asaka Medical Center, Asaka, Saitama, Japan (S.M., T.K., S.E., H.N., Y.K.). FAU - Egawa, Satoshi AU - Egawa S AD - From the Stroke and Epilepsy Center, TMG Asaka Medical Center, Asaka, Saitama, Japan (S.M., T.K., S.E., H.N., Y.K.). FAU - Nakamoto, Hidetoshi AU - Nakamoto H AD - From the Stroke and Epilepsy Center, TMG Asaka Medical Center, Asaka, Saitama, Japan (S.M., T.K., S.E., H.N., Y.K.). FAU - Toyoda, Kazunori AU - Toyoda K AD - Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (S.M., S.S., K.T). FAU - Kubota, Yuichi AU - Kubota Y AD - From the Stroke and Epilepsy Center, TMG Asaka Medical Center, Asaka, Saitama, Japan (S.M., T.K., S.E., H.N., Y.K.). LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180607 PL - United States TA - Stroke JT - Stroke JID - 0235266 MH - Aged MH - Aged, 80 and over MH - Cerebral Hemorrhage/*complications MH - Electroencephalography MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Risk Factors MH - Status Epilepticus/*etiology MH - Stroke/*complications OTO - NOTNLM OT - cerebral hemorrhage OT - electroencephalography OT - humans OT - patient discharge OT - seizure EDAT- 2018/06/09 06:00 MHDA- 2019/08/27 06:00 CRDT- 2018/06/09 06:00 PHST- 2018/01/10 00:00 [received] PHST- 2018/05/08 00:00 [revised] PHST- 2018/05/15 00:00 [accepted] PHST- 2018/06/09 06:00 [pubmed] PHST- 2019/08/27 06:00 [medline] PHST- 2018/06/09 06:00 [entrez] AID - STROKEAHA.118.021414 [pii] AID - 10.1161/STROKEAHA.118.021414 [doi] PST - ppublish SO - Stroke. 2018 Jul;49(7):1759-1761. doi: 10.1161/STROKEAHA.118.021414. Epub 2018 Jun 7.