الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Stroke is the most common cause of new-onset seizures in older adults. Cerebrovascular disease accounts for 11 % of adult epilepsy, and, in older adults, stroke is the underlying cause in over a third of all cases. Seizures secondary to stroke are generally categorized into early seizures and late seizures. Early seizures are defined as unprovoked seizures occurring within 7 days from onset of stroke. Repeated seizure-like activities in the setting of stroke significantly increase lesion size and impair functional recovery.Patients at risk of epileptic seizures and epilepsy must be thus identified for the following reasons: 1) to provide correct incidence rates of seizures (overall and with reference to timing); 2) to identify the main predictors of seizures and epilepsy; and 3) to select patients at high risk of seizures, which could be the target population for primary prevention trials.We aimed in our study to determine the extent that complications within the first week of stroke influence the risk of early seizures.five hundred patients were recruited, 253 males and 247 females, with age range from 18 to 91 years (62.5±12). We observed early seizures in 23 patients (4.6%). We didn’t find statistical significant correlation between ES and stroke risk factors or etiological subtypes of ischemic stroke. Regarding stroke location, size and severity of the stroke, there is statistically high significant correlation with early seizures. Among studied complications of stroke, there is statistically high significant correlation between fever and early seizures, and statistical significance with dysphagia, UTI, pneumonia and increased intracranial tension. In the multivariate analysis model, stroke location is the only statistically significant factor in the occurrence of early seizures.