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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
16
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pubmed:dateCreated |
1989-6-14
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pubmed:abstractText |
In view of the possible occurrence of epileptic manifestations and possible factors predisposing to them, the clinical course of 90 cerebral infarct patients was studied retrospectively and prospectively in a medical rehabilitation department for an average of 29 1/2 months. The following results were obtained: "prodromal" seizures (i.e. those preceding a cerebral insult) were not detectable in any of the study patients. 25 patients (27.7%) suffered epileptic seizures, 1 (1.1%) in the acute insult phase only, 2 (2.2%) in this as well as in the later phase, and 22 (24.4%) in the late phase only. All seizures in the acute insult phase were focal-motor or secondary generalized. Among all 24 patients (26.6%), the latency of late epileptic manifestations ranged from 2 1/2 months to 3 3/4 years and averaged about 12 months. Patients with cortical or cortical-subcortical brain lesions suffered epileptic seizures-as reported in the literature-significantly more frequently than those with exclusively subcortical insults. Based on the features of the focal (motor or psychomotor) seizures and/or interictal focal EEG spikes, there was clear evidence of a focus giving rise to epileptic discharges in the insulted hemisphere in 75% of the patients with late seizures. Under antiepileptic therapy (chiefly with phenytoin), the seizure frequency was slight (not exceeding 2 per year in 3/4 of the patients).
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0036-7672
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
22
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pubmed:volume |
119
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
500-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2717901-Adult,
pubmed-meshheading:2717901-Aged,
pubmed-meshheading:2717901-Aged, 80 and over,
pubmed-meshheading:2717901-Cerebral Infarction,
pubmed-meshheading:2717901-Electroencephalography,
pubmed-meshheading:2717901-Epilepsy,
pubmed-meshheading:2717901-Female,
pubmed-meshheading:2717901-Humans,
pubmed-meshheading:2717901-Male,
pubmed-meshheading:2717901-Middle Aged,
pubmed-meshheading:2717901-Phenytoin,
pubmed-meshheading:2717901-Prospective Studies,
pubmed-meshheading:2717901-Retrospective Studies,
pubmed-meshheading:2717901-Risk Factors,
pubmed-meshheading:2717901-Seizures,
pubmed-meshheading:2717901-Time Factors
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pubmed:year |
1989
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pubmed:articleTitle |
[Epileptic seizures in patients with a cerebrovascular infarction].
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pubmed:affiliation |
Abteilung für Epileptologie und EEG, Neurologischen Universitätsklinik Bern.
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pubmed:publicationType |
Journal Article,
English Abstract
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