Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window
Mechanical thrombectomy 6–24 h after the last time where a patient was known to be without signs or symptoms of a stroke is the standard of care for patients with a stroke due to large vessel occlusion. This is referred to as thrombectomy within an extended time window. There have been very few stud...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2021-01-01
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Series: | Epilepsy & Behavior Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986420300745 |
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author | Shruti Agashe Destiny Hooper Tariq Nisar David McCane Jason Lee Ken Chyuan Ling Farhaan S.Vahidy David Chiu Rajan R. Gadhia |
author_facet | Shruti Agashe Destiny Hooper Tariq Nisar David McCane Jason Lee Ken Chyuan Ling Farhaan S.Vahidy David Chiu Rajan R. Gadhia |
author_sort | Shruti Agashe |
collection | DOAJ |
description | Mechanical thrombectomy 6–24 h after the last time where a patient was known to be without signs or symptoms of a stroke is the standard of care for patients with a stroke due to large vessel occlusion. This is referred to as thrombectomy within an extended time window. There have been very few studies looking at patients who had seizures within the first week (early post-stroke seizures) following mechanical thrombectomy in this extended time window. Our study suggests that this group of patients does not have a higher incidence of early post stroke seizures. Our findings do reveal however, that patients who do have early post-stroke seizures may have a less favorable functional outcome at 90 days than those who did not develop early seizures. Hence, rapid identification and subsequent treatment of seizures in these patients is important. |
first_indexed | 2024-12-15T00:00:37Z |
format | Article |
id | doaj.art-b3294758a3bb4131acb03f634ff39fd6 |
institution | Directory Open Access Journal |
issn | 2589-9864 |
language | English |
last_indexed | 2024-12-15T00:00:37Z |
publishDate | 2021-01-01 |
publisher | Elsevier |
record_format | Article |
series | Epilepsy & Behavior Reports |
spelling | doaj.art-b3294758a3bb4131acb03f634ff39fd62022-12-21T22:42:55ZengElsevierEpilepsy & Behavior Reports2589-98642021-01-0115100426Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time windowShruti Agashe0Destiny Hooper1Tariq Nisar2David McCane3Jason Lee4Ken Chyuan Ling5Farhaan S.Vahidy6David Chiu7Rajan R. Gadhia8Corresponding author.; Houston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesHouston Methodist Neurological Institute, Houston Methodist Hospital, Houston, Texas, United StatesMechanical thrombectomy 6–24 h after the last time where a patient was known to be without signs or symptoms of a stroke is the standard of care for patients with a stroke due to large vessel occlusion. This is referred to as thrombectomy within an extended time window. There have been very few studies looking at patients who had seizures within the first week (early post-stroke seizures) following mechanical thrombectomy in this extended time window. Our study suggests that this group of patients does not have a higher incidence of early post stroke seizures. Our findings do reveal however, that patients who do have early post-stroke seizures may have a less favorable functional outcome at 90 days than those who did not develop early seizures. Hence, rapid identification and subsequent treatment of seizures in these patients is important.http://www.sciencedirect.com/science/article/pii/S2589986420300745Acute ischemic strokeLarge vessel occlusionExtended window thrombectomySeizure |
spellingShingle | Shruti Agashe Destiny Hooper Tariq Nisar David McCane Jason Lee Ken Chyuan Ling Farhaan S.Vahidy David Chiu Rajan R. Gadhia Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window Epilepsy & Behavior Reports Acute ischemic stroke Large vessel occlusion Extended window thrombectomy Seizure |
title | Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window |
title_full | Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window |
title_fullStr | Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window |
title_full_unstemmed | Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window |
title_short | Incidence, predictors, and outcomes of post-thrombectomy seizures in the extended time window |
title_sort | incidence predictors and outcomes of post thrombectomy seizures in the extended time window |
topic | Acute ischemic stroke Large vessel occlusion Extended window thrombectomy Seizure |
url | http://www.sciencedirect.com/science/article/pii/S2589986420300745 |
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