Epileptiform activity predicts epileptogenesis in cerebral hemorrhage

Ann Clin Transl Neurol. 2022 Sep;9(9):1475-1480. doi: 10.1002/acn3.51637. Epub 2022 Aug 27.

Abstract

This retrospective case-controlled study was performed to evaluate whether Epileptiform Activity, suspected clinical seizures, and/or 2HELPS2B/S after nontraumatic Intraparenchymal Hemorrhage or Subarachnoid Hemorrhage can predict Epilepsy. Hundred and thirty-two patients were included-29 (Epilepsy), 103 (Control Group). After matching, the average effect for all three risk factors was significant as follows: (1) Epileptiform Activity (p = 0.012, odds ratio 3.14), (2) suspected seizures (p = 0.021, odds ratio 3.78), and (3) 2HELPS2B/S score (p < 0.001, odds ratio 4.94). This study shows that Epileptiform Activity, suspected seizures, and particularly, the 2HELPS2B/S score in the acute phase are risk factors for the development of epilepsy after nontraumatic intraparenchymal and subarachnoid hemorrhage.

Keywords: EEG; cerebral hemorrhage; epilepsy; neuro-monitoring.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Cerebral Hemorrhage / complications
  • Cerebral Hemorrhage / diagnostic imaging
  • Electroencephalography
  • Epilepsy* / etiology
  • Humans
  • Retrospective Studies
  • Seizures
  • Subarachnoid Hemorrhage* / complications