September 2009. Volume 5. Number 3

Acute symptomatic seizures are associated with a higher early mortality and a lower recurrence risk than unprovoked seizures

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Hesdorffer DC , Benn EKT, Cascino GD, Hauser WA . Is a first acute symptomatic seizure epilepsy? Mortality and risk for recurrent seizure. Epilepsia 2009;50:1102-8
Reviewers: Ramos Lizana J1, Bonillo Perales A2.
1Unidad de Neurología Pediatríca. Hospital Torrecárdenas. Almería. España.
2 Unidad de Cuidados Intensivos Pediátricos. Hospital Torrecárdenas. Almerí­a . España.
Correspondence: Julio Ramos Lizana. Email: jramoslizana2@gmail.com
Reception date: 14/08/2009
Acceptance date: 18/08/2009
Publication date: 10/09/2009

Abstract

Authors' conclusions: Acute symptomatic seizures associated with stroke, traumatic brain injury or CNS infections carry a higher short-term mortality and a lower recurrence risk than unprovoked seizures associated with the same causes. In the authors' opinion, these findings support the exclusion of acute symptomatic seizures from the concept of epilepsy.

Reviewers' commentary: this is a well designed study that clearly shows the prognostic differences between acute symptomatic and unprovoked seizures. These differences have implications for the elaboration of concepts and definitions in the field of epilepsy.

How to cite this article

Ramos Lizana J, Bonillo Perales A. Las crisis epilépticas sintomáticas agudas se asocian a una mayor mortalidad precoz y un menor riesgo de recurrencia que las crisis epilépticas no provocadas. Evid Pediatr. 2009;5:60

AVC | Critically appraised articles

Hesdorffer DC , Benn EKT, Cascino GD, Hauser WA . Is a first acute symptomatic seizure epilepsy? Mortality and risk for recurrent seizure. Epilepsia 2009;50:1102-8
Reviewers: Ramos Lizana J1, Bonillo Perales A2.
1Unidad de Neurología Pediatríca. Hospital Torrecárdenas. Almería. España.
2 Unidad de Cuidados Intensivos Pediátricos. Hospital Torrecárdenas. Almerí­a . España.
Correspondence: Julio Ramos Lizana. Email: jramoslizana2@gmail.com
Reception date: 14/08/2009
Acceptance date: 18/08/2009
Publication date: 10/09/2009

How to cite this article

Ramos Lizana J, Bonillo Perales A. Las crisis epilépticas sintomáticas agudas se asocian a una mayor mortalidad precoz y un menor riesgo de recurrencia que las crisis epilépticas no provocadas. Evid Pediatr. 2009;5:60

References

  1. Fisher RS, van Embde Boas W, Blume W, Elger C, Genton P, Lee P et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 2005;470-2.
  2. Hart YM, Sander JWAS, Johnson AL, Shorvon SD. National General Practice Study of Epilepsy: recurrence after a first seizure. Lancet 1990;336:1271-74.
10/09/2009

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