LAUSR

Abstract The aim of this work is to study the clinical presentation of epilepsy among Sudanese patients with stroke. Methodology The study was conducted at Elshaab Teaching Hospital. The study population included patients with stroke referred to the hospital from August 2006 to April 2008. The total number of patients studied was 165. Full detailed history and proper clinical examinations were performed on each patient in addition to list of investigations included CT brain and EEG. Results Convulsions had been observed in 28 (16.9%) out of 165 patients with stroke, it was found that 21 (75%) out of 28 patients with post stroke seizures had occurred in the first two weeks. Sixteen patients had generalized seizure, while 12 patients had partial seizures, 9 of them had simple partial seizures and 3 patients had complex partial seizures. The study showed that 18 patients with ischemic stroke developed seizures while 10 patients with haemorrhagic stroke developed seizures. The EEG showed an evidence of abnormal discharge in 64% of our studied group. Conclusion Patients with stroke had higher incidence of epilepsy. Generalized epilepsy was commoner than the partial type among our study group. The majority of those who had epilepsy developed convulsions in the first two weeks following stroke. Seizures were found to occur more common among patients with ischemic stroke.