The risk of seizures after structural brain lesions, such as strokes, would be expected to be high, although this has not been studied in detail.  Clearly, such issues would have great bearing on patient management.  In this issue of JNNP, the risk of seizures in patients post malignant MCA territory strokes that underwent decompressive hemicraniectomy was reportedly high, impacting on patient recovery and management.   None-the-less, all patients would have chosen surgery irrespective of seizure risk.   These issues should be discussed with families of patients who are in this predicament, putting a brighter picture on outlook.

Read more at :  http://jnnp.bmj.com/content/85/7/721.abstract

• Cerebrovascular disease

• Research paper