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Epileptische Anfälle als Gefäßrisikofaktoren für Schlaganfall

Epileptic seizures as vascular risk factors for stroke

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Zusammenfassung

In den letzten Jahren haben mehrere Studien zunehmend darauf hingewiesen, dass Erstmanifestationen epileptischer Anfälle bei älteren Patienten (sog. „late onset epilepsy“), die ätiologisch ungeklärt sind, die erste klinische Manifestation einer zugrunde liegenden zerebrovaskulären Erkrankung darstellen können. Diese Anfälle könnten als Biomarker für Gefäßerkrankungen angesehen werden; sie könnten das Risiko eines folgenden Schlaganfalles oder anderer Gefäßereignisse erhöhen. Es erscheint daher sinnvoll, diese Patienten sorgfältig hinsichtlich Risikofaktoren für vaskuläre Erkrankungen zu untersuchen und präventive Behandlungen in Betracht zu ziehen.

Abstract

Several studies in recent years have provided increasing evidence that etiologically otherwise unexplained late onset seizures in older patients can represent the first clinical manifestation of an underlying cerebrovascular disease. These epileptic seizures could be regarded as biomarkers for vascular diseases; they could increase the risk of a subsequent stroke and other vascular events, including myocardial infarction. In these patients it therefore seems advisable to investigate the presence of risk factors for vascular diseases and to take preventive treatment into consideration to reduce the risk of clinically overt vascular events.

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Authors and Affiliations

  1. Abteilung für Neurologie, Krankenhaus „Franz Tappeiner“, Rossinistr. 5, 39012, Meran, Italien

    Francesco Brigo

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  1. Francesco Brigo
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Correspondence to Francesco Brigo.

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F. Brigo gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Brigo, F. Epileptische Anfälle als Gefäßrisikofaktoren für Schlaganfall. Z. Epileptol. 32, 204–208 (2019). https://doi.org/10.1007/s10309-019-0256-8

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  • DOI: https://doi.org/10.1007/s10309-019-0256-8

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