What types of strokes are more likely to cause post-stroke seizures?
The two different types of strokes are hemorrhagic and ischemic. Hemorrhagic strokes occur as a result of bleeding within or around the brain. Ischemic strokes occur as a result of a blood clot or a lack of blood flow to the brain. People who’ve had a hemorrhagic stroke are to have seizures after a stroke than people who’ve had an ischemic stroke. You are also at increased risk for seizure if the stroke occurs within the cerebral cortex of your brain.
How common are seizures after a stroke?
Your risk for post-stroke seizure is the highest the first days following a stroke. Approximately of people will have a seizure within a few weeks after having a stroke. You’re more likely to have an acute seizure within 24 hours of a severe stroke, a hemorrhagic stroke, or a stroke that involves the cerebral cortex.
Sometimes, a person who has had a stroke may have chronic and recurring seizures. They may be diagnosed with epilepsy.
How do you know if you’re having a seizure?
different types of seizures exist. Your symptoms will differ depending on the type of seizure you have.
The most common type of seizure and the most dramatic in appearance is a generalized seizure. The symptoms of a generalized seizure include:
Other possible symptoms of seizure include:
When should you see your doctor?
If you have a seizure, notify your doctor immediately. Your doctor will want to know the circumstances that surrounded your seizure. If someone was with you at the time of the seizure, ask them to describe what they witnessed so you can share that information with your doctor.
How can you help someone having a seizure?
If you see someone having a seizure, you should do the following:
What is the outlook?
If you’ve experienced a seizure following a stroke, you’re at an increased risk of developing epilepsy. If it has been 30 days since you had a stroke and you haven’t had a seizure, your chance for developing an epilepsy disorder is low. If you’re still experiencing seizures more than a month after stroke recovery, however, then you’re at a higher risk for epilepsy. Epilepsy is a disorder of the neurological system. People with epilepsy have recurrent seizures that aren’t associated with any specific cause.
You may have restrictions placed on your driver’s license if you continue to have seizures. This is because having a seizure while driving is not safe.
What you can do today
Follow these tips to reduce your risk for seizure:
If you’re at risk for having a seizure, the following can help keep you safe if you do have a seizure:
You doctor may prescribe anti-seizure medications to help reduce your risk for seizure. Follow your doctor’s instructions and take all medications as prescribed.
Your doctor may recommend a vagus nerve stimulator (VNS). This is sometimes referred to as a pacemaker for your brain. A VNS is operated by a battery that your doctor surgically attaches to the vagus nerve in your neck. It sends out impulses to stimulate your nerves and reduce your risk for seizure.
If neither treatments work, your doctor may talk to you about considering surgery.
Written by Kelli Hansen, RN, CMCN, CSA, CDP
Article Source: healthline.com