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Isaac E. Silverman, MD; Lucas Restrepo, MD; Gregory C. Mathews, MD, PhD

Arch Neurol. 2002;59:195-201.

Stroke is the most common cause of seizures in the elderly, and seizures are among the most common neurologic sequelae of stroke. About 10% of all stroke patients experience seizures, from stroke onset until several years later. This review discusses current understanding of the epidemiology, pathogenesis, classification, clinical manifestations, diagnostic studies, differential diagnosis, and management issues of seizures associated with various cerebrovascular lesions, with a focus on anticonvulsant use in the elderly.

From The Stroke Center at Hartford Hospital, Hartford, Conn (Dr Silverman); the Cerebrovascular Program (Dr Restrepo) and The Johns Hopkins Epilepsy Center (Dr Mathews), Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, Md; and the Synaptic Physiology Unit, National Institute of Neurological Disorders and Stroke, Bethesda, Md (Dr Mathews).

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