This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Stroke is the leading cause of epilepsy after age 60.1 Despite the importance of the problem, there are few data on the natural history of stroke-related seizures and no good guideposts to suggest when to initiate anticonvulsant therapy after stroke. Can one identify stroke patients in whom one seizure is enough to justify lifetime anticonvulsant therapy? Does it make a difference whether the seizure occurs at stroke onset or months later? The stakes are high.
Anticonvulsant drugs have many side effects and are often poorly tolerated in elderly patients. Since the risk for further seizures after a single unprovoked seizure is low, most epileptologists suggest starting anticonvulsant therapy only after a second seizure.2 However, for patients who have an unprovoked seizure after brain insult, the risk of a subsequent seizure is almost double that seen in patients with a seizure of unknown cause. Thus, the risk of epilepsy in some patients with …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
