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Seizures Associated with Spontaneous Subarachnoid Hemorrhage

Published online by Cambridge University Press:  18 September 2015

M.B.M. Sundaram  and
F. Chow
M.B.M. Sundaram*
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, University of Saskatchewan
F. Chow
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, University of Saskatchewan
*
Department of Clinical Neurological Sciences, University of Saskatchewan Hospital, Saskatoon, Saskatchewan, Canada S7N 0X0
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Abstract:

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We analysed the charts of 131 consecutive cases of spontaneous subarachnoid hemorrhage — without arteriovenous malformations — for seizures. Convulsions occurred in 31 patients (24%) and most often within 24 hours of bleeding. Motor manifestations of partial seizures were of no lateralizing value to aneurysm site. Early mortality, rebleeding and intracerebral hematoma were similar in both seizure and non-seizure groups. Late seizures were infrequent in survivors who had suffered seizures in the acute stage — thus questioning the necessity for routine, long term prophylactic anticonvulsants in these patients.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 13 , Issue 3 , August 1986 , pp. 229 - 231
Copyright
Copyright © Canadian Neurological Sciences Federation 1986

References

1.Uttley, D.Subarachnoid hemorrhage. Br J Hosp Med 1978; 19: 138–154.Google Scholar
2.Héros, RC, Zervas, NT.Subarachnoid hemorrhage. Ann Rev Med 1983; 34: 367–75.CrossRefGoogle ScholarPubMed
3.Feamsides, EG.Intracranial aneurysms. Brain 1916; 39: 224–296.CrossRefGoogle Scholar
4.Magee, CG.Spontaneous subarachnoid hemorrhage. The Lancet 1943; 245: 497–500.CrossRefGoogle Scholar
5.Dandy, WE.Intracranial arterial aneurysms. Comstock Publishing Co, Ithaca. New York 1944. pp 13–14.Google Scholar
6.Hamby, WB.Spontaneous subarachnoid hemorrhage of aneurysmal origin. JAMA 1948: 136: 522–528.CrossRefGoogle ScholarPubMed
7.Hyland, HH.Prognosis in spontaneous subarachnoid hemorrhage. Arch Neurol Psychiatr 1950: 63: 61–78.CrossRefGoogle Scholar
8.Dekaban, A.Mceachern, D.Subarachnoid hemorrhage, intracranial hemorrhage and intracranial aneurysms. Arch Neurol Psychiatr 1952; 60: 641–649.CrossRefGoogle Scholar
9.Timberlake, WH, Kubik, CS.Follow-up report with clinical and anatomical notes on 280 patients with subarachnoid hemorrhage. Trans Am Neurol Assoc 1952: 77: 26–30.Google Scholar
10.Mckissock, W, Paine, KWE, Walsh, LS.An analysis of the results of treatment of ruptured intracranial aneurysms. J Neurosurg 1960; 17: 762–776.CrossRefGoogle Scholar
11.Walton, JN.Subarachnoid hemorrhage. E and S Livingstone Ltd. Edinburg and London 1956, p 59.Google Scholar
12.Locksley, HB.Report on the cooperative study of intracranial aneurysm and subarachnoid hemorrhage, Section V, Part I. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. J Neurosurg 1966: 25: 219–239.CrossRefGoogle Scholar
13.Storey, PB.Psychiatric sequelae of subarachnoid hemorrhage. Br Med J 1967; 3: 261–266.CrossRefGoogle Scholar
14.Winn, HR, Richardson, AEet al. The long-term prognosis in untreated cerebral aneurysms: II. Late morbidity and mortality. AnnNeurol 1978; 4: 418–426.Google ScholarPubMed
15.Sundt, TM, Kobayashi, Set al. Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. J Neurosurg 1982: 56: 753–765.CrossRefGoogle ScholarPubMed
16.Rose, CF, Sarner, M.Epilepsy after ruptured intracranial aneurysm. Br Med J 1965; 1: 18–21.CrossRefGoogle ScholarPubMed
17.Cabrai, RJ, King, TT, Scott, DF.Epilepsy after two different neurosurgical approaches to the treatment of ruptured intracranial aneurysm. J Neurol Neurosurg Psychiatry 1976: 39: 1052–1056.CrossRefGoogle Scholar
18.Hart, RG, Byer, JAet al. Occurrence and implications of seizures in subarachnoid hemorrhage due to ruptured intracranial aneurysms. Neurosurgery 1981;8:417–421.CrossRefGoogle ScholarPubMed
19.Witoonpanich, R, Bunyaratavej, S.Vejjajiva, A.Epileptic seizures in intracranial aneurysm. J Med Assoc Thailand 1980:63: 192–195.Google Scholar
20.Ristic, J, Gospavic, J, Krstic, S.Epileptic manifestations in subarachnoid hemorrhage. Neuropsihijatrija 1971; 19: 159–163.Google ScholarPubMed
21.Zhang, SS.Subarachnoid hemorrhage and epileptic seizures. Chung Hua Shen China Ching Shen ko Tsa Chih 1982; 15: 213–215.Google ScholarPubMed
22.Drake, CG.Cerebral arteriovenous malformations: considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 1979: 26: 145–208.CrossRefGoogle ScholarPubMed
23.Grab, CJ, Perret, GE, Torner, JC.Bleeding from cerebral arteriovenous malformations as part of their natural history. J Neurosurg 1983:58: 331–337.Google Scholar
24.Tay, CH, Oon, CIet al. Intracranial arteriovenous malformations in Asians. Brain 1971; 94: 61–68.CrossRefGoogle ScholarPubMed
25.Perret, G, Nishioka, H.Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: Section VI -arteriovenous malformations. J Neurosurg 1966; 25: 467: 490.CrossRefGoogle ScholarPubMed
26.Parkinson, D, Bachers, G.Arteriovenous malformations: Summary of 100 consecutive supratentorial cases. J Neurosurg 1980; 53: 285–299.CrossRefGoogle ScholarPubMed
27.Feffer, SE, Parray, HR, Wastring, DW.Seizure after infusion of aminocaproic acid. JAMA 1978; 240: 2468.CrossRefGoogle ScholarPubMed
28.Yamaura, A.Nakamura, Tet al. Cerebral complication of antifib- rinolytic therapy in the treatment of intracranial aneurysm. Eur Neurol 1980: 19: 77–84.CrossRefGoogle Scholar