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PREDICTION OF POST HEMORRHAGIC STROKE SEIZURES
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohamed Hamdy Ismail Muhamd
Journal:
Zagazig University Medical Journal Zagazig University Medical Journal
Volume:
Keywords :
PREDICTION , POST HEMORRHAGIC STROKE SEIZURES
Abstract:
Background and Purpose: Seizures are a serious complication of spontaneous intracerebral hemorrhage (sICH) which increases morbidity of the patients. Patients and Methods; cross sectional analysis of patients admitted to Zagazig Neurology Department and Intensive Care Unit(ICU) (n=125and follow-up to 6 months) for detection of early and late onset seizures. within 7 days of ICH and among 7-day survivors for detection of early seizures (ES) and late seizures (LSs) occurring >7 days from ICH. Using CT brain and CT angiography for diagnosis and to measure the volume of hemorrhage, also using CAVE score for evaluation or ES and LSS. Results: Of our study on 125 patients with sICH 58 were males and 67 were females , there were cortical hge 36% , BG(Basal Ganglia) 23.2%, Thalamic he 25.6%,cerebellar he 10.4% and brain stem was 4.8%, while intraventricular extenstion was 9.6% and with SAH 7.2 %, also 18 patients (14.4%) had ES within 7 days of sICH. Among the 7-day survivors, 10 patients (8%) developed LSs. There were a statistically significant association between early ES and LSs with the volume of intracerebral hemorrhage and CAVE scale. Conclusions: about 14 % of patients with sICH will develop seizures with in the first 7 days . while 8% will develop LSs after one week of sICH The risk of this adverse outcome can be estimated by CAVE scale which is a simple score based on baseline variables. Keywords: spontaneous IntracerebralHemorrhage (sICH)- Early seizures(ES), Late onset seizure(LSS) and subarachnoid hemorrhage(SAH).
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Mohamed Hamdy Ismail Muhamd, "ADC VALUE AS A PREDICTOR FOR MYELIN LOSS/PRESERVATION IN MS PLAQUES WITH DIFFERENT ENHANCEMENT PATTERN IN CORRELATION WITH DISEASE ACTIVITY", ScienceDirect, 2017
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Mohamed Hamdy Ismail Muhamd, "VALIDITY OF APPARENT DIFFUSION COEFFICIENT (ADC) VALUE IN DIAGNOSIS AND FOLLOW-UP OF MULTIPLE SCLEROSIS PATIENTS IN DIFFERENT CLINICAL SUBTYPES", ScienceDirect, 2018
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Mohamed Hamdy Ismail Muhamd, "HELICOBACTER PYLORI INFECTION IN MIGRAINE PATIENTS: A CASE CONTROL STUDY", Egyptian Journal of Medical Microbiology, 2020
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Mohamed Hamdy Ismail Muhamd, "ADMISSION PLASMA D DIMER AS A PREDICTOR OF OUTCOME IN PATIENTS WITH PRIMARY INTRACEREBRAL HEMORRHAGE", International journal of Advanced Research, 2017
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Mohamed Hamdy Ismail Muhamd, "RISK OF OBSTRUCTIVE SLEEP APNEA IN MULTIPLE SCLEROSIS: FREQUENCY, CLINICAL AND RADIOLOGICAL CORRELATES", elsevier, 2019
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Department Related Publications
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