Епілепсія після ішемічного інсульту: чи є сенс призначати антиконвульсанти після першого нападу?

Background. The incidence of epileptic attacks in patients, who suffered a stroke, ranges widely — from 3 to more than 60 % [8, 11–15]. Today, many aspects of this problem in post-stroke epilepsy haven’t been completely studied, including the problem of the time for administering antiepileptic preparations. The aim of investigation — to define the prognosis of symptomatic epilepsy development after the stroke depending on the intake of anticonvulsants by patients after the first epileptic attack. Materials and methods. We made a complex examination of 1,012 patients (562 males and 450 females) aged 49 to 90 years, who had suffered an ischemic stroke during 2011–2014. While analyzing the state of all these 1,012 patients, it was revealed that within 6 months after the ischemic stroke at least 1 epileptic attack was observed in 151 patients. According to the type of attacks, focal ones (80.9 %, p