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...

Full description

Bibliographic Details
Main Authors: Shruti Agashe, Destiny Hooper, Tariq Nisar, David McCane, Jason Lee, Ken Chyuan Ling, Farhaan S.Vahidy, David Chiu, Rajan R. Gadhia
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Epilepsy & Behavior Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589986420300745
_version_ 1818572663629545472
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
work_keys_str_mv AT shrutiagashe incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT destinyhooper incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT tariqnisar incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT davidmccane incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT jasonlee incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT kenchyuanling incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT farhaansvahidy incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT davidchiu incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow
AT rajanrgadhia incidencepredictorsandoutcomesofpostthrombectomyseizuresintheextendedtimewindow