Early Post-Stroke Seizures: A Comparison Between Acute Ischemic and Haemorrhagic Stroke Patients

Abstract

Objective: To compare the frequency of post-stroke seizure between acute ischemic and haemorrhagic stroke patients.

Study Design: Comparative, prospective study.

Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from Oct 2021 to Oct 2022.

Methodology: A total of 180 patients with acute stroke, were included in the study. CT brain and/or MRI brain were
performed to diagnose all patients. Patients were divided into haemorrhagic and ischemic stroke groups. Patients were
followed for four weeks.

Results: The mean age of the patients was 48.92±7.80 years. The majority were males 127(70.5%),125(69.4%) patients had an ischemic stroke, while 55(30.6%) had haemorrhagic. Post-stroke seizures were seen in 12(7.07%). In haemorrhagic stroke
patients, the frequency was 5/55(9.09%), while 7/125(5.6%) in ischemic ones. The difference in frequencies was 4.03%. There
was no significant difference in seizure frequencies between the two groups (p=0.298).

Conclusion: This study concluded that there is no significant statistical difference in frequencies of post-stroke seizure in
haemorrhagic stroke compared to ischemic stroke patients.