Epileptic seizures in cerebral arterial occlusive disease.

The occurrence of epileptic seizures was investigated in 141 patients with angiographically proven carotid or MCA occlusive disease. Epileptic seizures occurred some time during the clinical course of the disease in 17.3% of carotid patients and in 10.8% of MCA patients, being mainly represented by partial motor seizures. The pattern of occurrence of seizures in the natural history of cerebral arterial disease was different in the two groups. In the carotid group, epilepsy was the presenting symptom in 6.7% of patients, whereas no MCA patient had seizures prior to the appearance of a neurological deficit. Since epileptic seizures may complicate an otherwise asymptomatic carotid obstruction, angiography should be performed whenever the other standard investigations, including CT-scan, fail to reveal the cause of late-onset epilepsy.

[1]  H. Schliack,et al.  Epileptische Anfälle bei cerebralen Durchblutungsstörungen , 1972, Zeitschrift für Neurologie.

[2]  C. Derouesné,et al.  Internal carotid artery occlusion. A study of 61 instances in 50 patients with post-mortem data. , 1970, Brain : a journal of neurology.

[3]  E. S. Gurdjian,et al.  History of occlusive cerebrovascular disease. II. After Moniz, with special reference to surgical treatment. , 1979, Archives of neurology.

[4]  F. Sindermann,et al.  Occlusion of the middle cerebral artery and its branches: angiographic and clinical correlates. , 1969, Brain : a journal of neurology.

[5]  Walker Ae,et al.  The angiographic diagnosis of spontaneous thrombosis of the internal and common carotid arteries. , 1951 .

[6]  A. Silverstein,et al.  INTERNAL CAROTID VS MIDDLE CEREBRAL ARTERY OCCLUSIONS; CLINICAL DIFFERENCES. , 1965, Archives of neurology.

[7]  M. Fisher.  Occlusion of the carotid arteries: further experiences. , 1954, A.M.A. archives of neurology and psychiatry.

[8]  J. Meyer,et al.  Cerebral Embolization: Prospective Clinical Analysis of 42 Cases , 1971, Stroke.

[9]  F. Gorstein,et al.  The Carotid Bifurcation Plaque: Pathologic Findings Associated with Cerebral Ischemia , 1979, Stroke.

[10]  W. S. Fields,et al.  Joint Study of Extracranial Arterial Occlusion: X. Internal Carotid Artery Occlusion , 1976 .

[11]  J. Friedman,et al.  Stroke, orthostatic hypotension, and focal seizures. , 1981, JAMA.

[12]  M. Fisher,et al.  Concerning Cerebral Vasospasm , 1953, Neurology.

[13]  J. Marshall.  The management of occlusion and stenosis of the internal carotid artery , 1966, Neurology.

[14]  Tytus Js,et al.  Prognosis in patients with transient ischemic attacks after endarterectomy. , 1970 .

[15]  D. Ziegler,et al.  Prognosis in Patients with Transient Ischemic Attacks , 1973, Stroke.

[16]  H. Gastaut,et al.  Jacksonian Epileptic Seizures as Inaugural Manifestations of Sylvian Infarctions Revealed by Computerised Axial Tomography (C.A.T.) , 1977 .

[17]  H. Terzian.  L'EEG des crises cérébrales ischémiques partielles , 1964 .

[18]  E. Richardson,et al.  Epilepsy in Cerebral Vascular Disease , 1954 .

[19]  R. Braakman.  Computerized axial tomography in clinical practice G. H. DU BOULAY and I. F. MOSELY 335 figs., 430 pp., D.M. 78, — Springer-Verlag, Berlin Heidelberg New York. ISBN 3-540-0816-X. , 1979, Clinical Neurology and Neurosurgery.

[20]  T. Sundt,et al.  Carotid endarterectomy: results, complications, and monitoring techniques. , 1977, Advances in neurology.

[21]  F. Mcdowell,et al.  Carotid artery occlusive syndrome. , 1959, Archives of neurology.

[22]  W. Heiss,et al.  Cortical neuronal function during ischemia. Effects of occlusion of one middle cerebral artery on single-unit activity in cats. , 1976, Archives of neurology.

[23]  W M STRAIGHT,et al.  Occlusion of the Internal Carotid Artery , 1961, Southern medical journal.

[24]  Charles Tator,et al.  Thromboendarterectomy for Total Occlusion of the Internal Carotid Artery: A Reappraisal of Risks, Success Rate and Potential Benefits , 1978, Stroke.

[25]  M. Victor,et al.  Recurrent convulsive seizures as a sequel to cerebral infarction: a clinical and pathological study. , 1954, Brain : a journal of neurology.

[26]  D. Sherman,et al.  Stroke and mortality rate in carotid endarterectomy: 228 consecutive operations. , 1977, Stroke.

[27]  E. H. Burrows,et al.  OCCLUSION OF THE MIDDLE CEREBRAL ARTERY. , 1965, Brain : a journal of neurology.

[28]  F. Sindermann,et al.  Occlusions of the internal carotid artery compared with those of the middle cerebral artery. , 1970, Brain : a journal of neurology.

[29]  J. Moran,et al.  Focal convulsions in carotid occlusive disease. , 1966, Archives of surgery.

[30]  C. Loeb.  Protracted transient ischemic attacks. , 1980, European neurology.

[31]  C. Whitty,et al.  RECURRENT CEREBRAL EMBOLI AND DIAGNOSIS OF FOCAL EPILEPSY , 1965 .

[32]  A. Luessenhop.  Occlusive Disease of the Carotid Artery , 1959 .