22. European Stroke Conference 551 Epidemiology of stroke Analysis of a group of patients with post-stroke acute and remote epileptic seizures. A.B Martínez García1, I Chmielewska2, S Tur Campos3, R Díaz Navarro4, A.J. Moreno Rojas5, M Massot Cladera6, B Vives Pastor7, M.C. de la Bandera Sánchez8, C Jiménez Martínez95 Hospital Universitari Son Espases., Palma de Mallorca, SPAIN1, Hospital Universitari Son Es-pases., Palma de Mallorca, SPAIN2, Hospital Universitari Son Espases., Palma de Mallorca, SPAIN3, Hospital Universitari Son Espases., palma de Mallorca, SPAIN4, Hospital Universitari Son Espases., Palma de mallorca, SPAIN5, Hospital Universitari Son Espases., Palma de Mallorca, SPAIN6, Hospi-tal Universitari Son Espases., Palma de Mallorca, SPAIN7, Hospital Universitari Son Espases., Pal-ma de Mallorca, SPAIN8, Hospital Universitari Son Espases., Palma de Mallorca, SPAIN9, Background: Stroke is a frequent cause of epileptic seizures in adults, however, there is limited information based in evidence. Our purpose is to analyse a group of patients with post-stroke acute and remote epileptic seizures, as a part of an ongoing prospective study. Methods: This is a retrospective study in which we included haemorrhagic and ischemic stroke patients with epileptic seizures recorded in our stroke database. Epidemiological data, stroke aetiology, seizure subtype and time from stroke to the first epileptic seizure were registered. Results: From January 2009 to December 2010 a total of 378 patients were studied. 237 (62.6%) were men, mean age of 65.39 ±13.65 years. Haemorrhagic and ischemic stroke was diagnosed in 45 (12 %) and 333 (88 %) of the patients respectively. 14 (3.7%) of the patients (none of them with previous epi-lepsy) suffered seizures during the first year after stroke, of which 8 (57.2%) had an ischemic stroke (4 (50 %) cardioembolic, 1 (12.5%) due to large artery atherosclerosis, and 3 (37.5%) cryptogenic), and 6 (42.8%) had an haemorrhagic stroke (4 (66.6% ) basal ganglia, 2 (33.4%) lobar). Acute seizures (< 2 weeks after stroke) were detected in 7 (1.8%) of the patients, 5 (71.4%) with haemorrhagic stroke, without recurrences during the first post-stroke year. 7 (1.8%) of the patients developed epilepsy (considering a first remote seizure), 6 (85.7%) with ischemic stroke. Partial mo-tor simple seizure was the most frequent type. Antiepileptic treatment was initiated in 13 (92.8%) of the patients and was maintained during the follow-up. Conclusion: Although our sample is reduced, the results are in accordance with other published series. It has per-mitted us to analyze our clinical management and to design a larger prospective study necessary for 636 © 2013 S. Karger AG, Basel Scientific Programme our community 552 Epidemiology of stroke Seasonal Fluctuations in Stroke different to Cardiovascular variations: A London HASU ‘s Experience S. Andole1, S. Shaw2, S. Singh3 Barking Havering and Redbridge University Hospital Trust, Romford, UNITED KINGDOM1, Barking Havering and Redbridge University Hospital Trust, Romford, UNITED KINGDOM2, Bark-ing Havering and Redbridge University Hospital Trust, Romford, UNITED KINGDOM3 Introduction: A seasonal variation in acute presentation with various cardiovascular disorders has been reported, with data on acute presentations with conditions showing seasonal winter peak. Acute stroke and transient ischaemic attack show a similar pattern in few studies however we wanted to evaluate our experience. Materials and Methods;We collected data from patients admitted to Stroke Unit at Queens Hospi-tal, single hyper acute stroke centre for consecutive three years (2010, 2011 and 2012). We cross checked with recorded admissions on Stroke Improvement National Audit Programme (SINAP) au-dit data to improve accuracy. Other data that collected included age and sex of patients admitted and excluded Transient Ischaemic attacks. Results:1)Since 2010, year by year we had stroke admissions highest during autumn and varied around 28.6% to 39.2% in 2012. 2)Summer had 2nd highest admissions and ranged from 24.9%in 2010 to 31.8% in 2012.3)Spring was 3rd and winter had lowest rates of admissions (9.34-15.5%).4) There was a slight female preponderance during peak admissions (52%).Conclusions1) Cerebrovas-cular diseases not necessarily match cardiovascular fluctuations and in fact may be completely re-versed. 2)Gearing up for peak admissions is an important factor in preparedness of many acute trusts in this country. Our findings show that general assumptions on traditional findings are not necessar-ily accurate at a local level and therefore these plans need to be flexible.3) Whilst the observations were not designed to record the mortality and gender variability it is likely these will parallel the findings already known about stroke.
Karger_ESC London_2013
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