Post-Stroke Epilepsy in Young Adults: A Long-Term Follow-Up Study
Publication Date
February 04, 2013
Journal
PLOS ONE
Authors
Renate Arntz, Loes Rutten Jacobs, Noortje Maaijwee, Hennie Schoonderwaldt, et al
Volume
8
Issue
2
Pages
e55498
DOI
https://dx.plos.org/10.1371/journal.pone.0055498
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0055498
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/23390537
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563638
Europe PMC
http://europepmc.org/abstract/MED/23390537
Web of Science
000314691100053
Scopus
84873493318
Mendeley
http://www.mendeley.com/research/poststroke-epilepsy-young-adults-longterm-followup-study-1
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Mendeley | Further Information

{"title"=>"Post-Stroke Epilepsy in Young Adults: A Long-Term Follow-Up Study", "type"=>"journal", "authors"=>[{"first_name"=>"Renate", "last_name"=>"Arntz", "scopus_author_id"=>"52063104000"}, {"first_name"=>"Loes", "last_name"=>"Rutten-Jacobs", "scopus_author_id"=>"51565955700"}, {"first_name"=>"Noortje", "last_name"=>"Maaijwee", "scopus_author_id"=>"52063459700"}, {"first_name"=>"Hennie", "last_name"=>"Schoonderwaldt", "scopus_author_id"=>"6603034440"}, {"first_name"=>"Lucille", "last_name"=>"Dorresteijn", "scopus_author_id"=>"6508298405"}, {"first_name"=>"Ewoud", "last_name"=>"van Dijk", "scopus_author_id"=>"7005530821"}, {"first_name"=>"Frank Erik", "last_name"=>"de Leeuw", "scopus_author_id"=>"7005398469"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"368294361", "sgr"=>"84873493318", "issn"=>"19326203", "pmid"=>"23390537", "scopus"=>"2-s2.0-84873493318", "doi"=>"10.1371/journal.pone.0055498", "isbn"=>"10.1371/journal.pone.0055498"}, "id"=>"af4d31a7-75b7-3754-a272-dee72a341767", "abstract"=>"BACKGROUND: Little is known about the incidence and risk of seizures after stroke in young adults. Especially in the young seizures might dramatically influence prognosis and quality of life. We therefore investigated the long-term incidence and risk of post-stroke epilepsy in young adults with a transient ischemic attack (TIA), ischemic stroke (IS) or intracerebral hemorrhage (ICH).\\n\\nMETHODS AND FINDINGS: We performed a prospective cohort study among 697 consecutive patients with a first-ever TIA, IS or ICH, aged 18-50 years, admitted to our hospital between 1-1-1980 till 1-11-2010. The occurrence of epilepsy was assessed by standardized questionnaires and verified by a neurologist. Cumulative risks were estimated with Kaplan-Meier analysis. Cox proportional hazard models were used to calculate relative risks. After mean follow-up of 9.1 years (SD 8.2), 79 (11.3%) patients developed post-stroke epilepsy and 39 patients (5.6%) developed epilepsy with recurrent seizures. Patients with an initial late seizure more often developed recurrent seizures than patients with an initial early seizure. Cumulative risk of epilepsy was 31%, 16% and 5% for patients with an ICH, IS and TIA respectively (Logrank test ICH and IS versus TIA p<0.001). Cumulative risk of epilepsy with recurrent seizures was 23%, 8% and 4% respectively (Logrank ICH versus IS p = 0.05, ICH versus TIA p<0.001, IS versus TIA p = 0.01). In addition a high NIHSS was a significant predictor of both epilepsy and epilepsy with recurrent seizures (HR 1.07, 95% CI 1.03-1.11 and 1.08, 95% CI 1.02-1.14).\\n\\nCONCLUSIONS: Post-stroke epilepsy is much more common than previously thought. Especially patients with an ICH and a high NIHSS are at high risk. This calls upon the question whether a subgroup could be identified which benefits from the use of prophylactic antiepileptic medication. Future studies should be executed to investigate risk factors and the effect of post-stroke epilepsy on quality of life.", "link"=>"http://www.mendeley.com/research/poststroke-epilepsy-young-adults-longterm-followup-study-1", "reader_count"=>48, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>5, "Researcher"=>9, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>7, "Student > Master"=>7, "Other"=>3, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>3, "Professor"=>2}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>5, "Researcher"=>9, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>7, "Student > Master"=>7, "Other"=>3, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>3, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Nursing and Health Professions"=>3, "Mathematics"=>1, "Agricultural and Biological Sciences"=>3, "Medicine and Dentistry"=>29, "Neuroscience"=>6, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>29}, "Neuroscience"=>{"Neuroscience"=>6}, "Social Sciences"=>{"Social Sciences"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>4}}, "reader_count_by_country"=>{"United States"=>1, "United Kingdom"=>2, "Italy"=>1, "Indonesia"=>1}, "group_count"=>2}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/495671"], "description"=>"<p>Classification of first post-stroke seizure.</p>", "links"=>[], "tags"=>["post-stroke"], "article_id"=>166192, "categories"=>["Neuroscience"], "users"=>["Renate Arntz", "Loes Rutten-Jacobs", "Noortje Maaijwee", "Hennie Schoonderwaldt", "Lucille Dorresteijn", "Ewoud van Dijk", "Frank-Erik de Leeuw"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0055498.t002", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Classification_of_first_post_stroke_seizure_/166192", "title"=>"Classification of first post-stroke seizure.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 15:59:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/495709"], "description"=>"*<p>Patients with ICH or IS compared to TIA both <i>p</i><0.001. Patients with IS compared to ICH <i>p</i> = 0.62.</p>‡<p>In 0.6% of the patients NIHSS at admission and in 8% smoking status was missing.</p>§<p>Percentages TIA and IS patients.</p><p>Abbreviations: DM = diabetes mellitus.</p>", "links"=>[], "tags"=>["neurological disorders"], "article_id"=>166227, "categories"=>["Neuroscience"], "users"=>["Renate Arntz", "Loes Rutten-Jacobs", "Noortje Maaijwee", "Hennie Schoonderwaldt", "Lucille Dorresteijn", "Ewoud van Dijk", "Frank-Erik de Leeuw"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0055498.t001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_Characteristics_/166227", "title"=>"Baseline Characteristics.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 15:59:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/495495"], "description"=>"<p><b>A.</b> Overall cumulative risk. <b>B.</b> Cumulative risk according to stroke subtype. <b>C.</b> Cumulative risk according to gender.</p>", "links"=>[], "tags"=>["risks", "epilepsy", "recurrent"], "article_id"=>166020, "categories"=>["Neuroscience"], "users"=>["Renate Arntz", "Loes Rutten-Jacobs", "Noortje Maaijwee", "Hennie Schoonderwaldt", "Lucille Dorresteijn", "Ewoud van Dijk", "Frank-Erik de Leeuw"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0055498.g003", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cumulative_risks_for_epilepsy_and_epilepsy_with_recurrent_seizures_/166020", "title"=>"Cumulative risks for epilepsy and epilepsy with recurrent seizures.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 15:58:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/495225"], "description"=>"<p>Flowchart study design.</p>", "links"=>[], "tags"=>["neurological disorders"], "article_id"=>165734, "categories"=>["Neuroscience"], "users"=>["Renate Arntz", "Loes Rutten-Jacobs", "Noortje Maaijwee", "Hennie Schoonderwaldt", "Lucille Dorresteijn", "Ewoud van Dijk", "Frank-Erik de Leeuw"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0055498.g001", "stats"=>{"downloads"=>3, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flowchart_study_design_/165734", "title"=>"Flowchart study design.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 15:56:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/495643"], "description"=>"*<p>early seizures are defined as occurring within the first week after the index event.</p>‡<p>late seizures are defined as occurring after the first week after the index event.</p>§<p><i>p-</i>value represents difference in incidence of recurrent seizures between patients with an initial first seizure versus patients with an initial late seizure, compared with chi-square.</p>", "links"=>[], "tags"=>["seizures", "onset"], "article_id"=>166164, "categories"=>["Neuroscience"], "users"=>["Renate Arntz", "Loes Rutten-Jacobs", "Noortje Maaijwee", "Hennie Schoonderwaldt", "Lucille Dorresteijn", "Ewoud van Dijk", "Frank-Erik de Leeuw"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0055498.t003", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Recurrence_of_seizures_according_to_time_of_onset_first_seizure_/166164", "title"=>"Recurrence of seizures according to time of onset first seizure.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 15:59:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/495606"], "description"=>"*<p>epilepsy is defined as the occurrence of at least 1 seizure with an enduring cause.</p>", "links"=>[], "tags"=>["proportional"], "article_id"=>166126, "categories"=>["Neuroscience"], "users"=>["Renate Arntz", "Loes Rutten-Jacobs", "Noortje Maaijwee", "Hennie Schoonderwaldt", "Lucille Dorresteijn", "Ewoud van Dijk", "Frank-Erik de Leeuw"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0055498.t004", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cox_proportional_hazard_/166126", "title"=>"Cox proportional hazard.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 15:59:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/495380"], "description"=>"<p><b>A.</b> Average annual risk of epilepsy. <b>B.</b> Average annual risk of epilepsy with recurrent seizures.</p>", "links"=>[], "tags"=>["neurological disorders"], "article_id"=>165903, "categories"=>["Neuroscience"], "users"=>["Renate Arntz", "Loes Rutten-Jacobs", "Noortje Maaijwee", "Hennie Schoonderwaldt", "Lucille Dorresteijn", "Ewoud van Dijk", "Frank-Erik de Leeuw"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0055498.g002", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Average_annual_risk_/165903", "title"=>"Average annual risk.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 15:57:51"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"19", "full-text"=>"19", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"17", "full-text"=>"16", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"23", "full-text"=>"21", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"32", "full-text"=>"37", "pdf"=>"13", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"18", "full-text"=>"13", "pdf"=>"11", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}

Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences/Anatomy and physiology", "average_usage"=>[256, 428]}, {"subject_area"=>"/Medicine and health sciences/Health care", "average_usage"=>[278, 463, 587, 692, 804, 897, 984, 1068, 1165, 1254, 1339, 1429, 1490]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[265, 456, 578, 682, 782, 881, 965, 1053, 1133, 1223, 1310, 1391, 1457]}]}
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