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Risk factors and Prognosis of Seizures after Spontaneous Subarachnoid Hemorrhage

Li Jihua;Yang Na;Cui Yongpeng;Liu Baojun;Pei Fei;Department of Neurosurgery,Affiliated Kailuan General Hospital of Hebei United University;Department of Neurology,Affiliated Kailuan General Hospital of Hebei United University;  
Objective This study aimed to investigate the risk factors and prognosis of seizures after spontaneous subarachnoid hemorrhage(SAH).Methods A total of 158patients with spontaneous SAH were enrolled in this ten year retrospective study.Results Seizures occurred in 23patients with SAH was accounting for 14.6%.The frequency of 3and 4of Fisher SAH Grade in the group with seizures were higher than that without seizures(P0.05).The frequency of Rankin grade3or death in the group with seizures were higher than that without seizures(P0.05).Conclusion Higher Fisher SAH Grade on presentation was predictive of seizure.Spontaneous SAH with seizures had unfavourable prognosis.Regarding potential side-effects of anti-epileptic drugs,anti-epileptic therapy should be carefully administered to patients with seizures after spontaneous SAH.Fine prognosis will be probably achieved if the patients with Higher Fisher SAH Grade have been accepted anti-epileptic drugs.
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