How Can A Severe Seizure Episode Be Treated After Recent Ischemic Stroke Resulting In Confusion In Someone With A History Of Depression?

Posted on Tue, 22 Mar 2022

Question: Married male 72 yrs. 10 yr history of moderate depression. Recent ischemic stroke with resulting confusion. 1-15 days later has a severe seizure.

Answered by Dr. Sudhir Kumar (35 minutes later)

Brief Answer:
Symptoms are suggestive of post stroke seizure

Detailed Answer:

Hi,

I have noted the patient's clinical details. Based on this, the most likely diagnosis is post-stroke seizure.

Evaluation would include MRI brain, EEG and serum electrolytes (sodium).

Anti-epileptic medication, sodium valproate, should be started to prevent further seizures.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health.
Regards,
Dr. Sudhir Kumar

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar