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Functional Neurology

A 15-year epileptogenic period after perinatal brain injury

Case report, 49 - 53
doi: 10.11138/FNeur/2017.32.1.049
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Abstract
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Seizures are a frequent acute neurological event in the neonatal period. Up to 12 to 18% of all seizures in newborns are due to perinatal stroke and up to 39% of affected children can then develop epilepsy in childhood.
We report the case of a young patient who presented stroke-related seizures in the neonatal period and then developed focal symptomatic epilepsy at 15 years of age, and in whom the epileptic focus was found to co-localize with the site of his ischemic brain lesion.
Such a prolonged silent period before onset of remote symptomatic epilepsy has not previously been reported.
This case suggests that newborns with seizures due to a neonatal stroke are at higher risk of epilepsy and that the epileptogenic process in these subjects can last longer than a decade.

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