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European Radiology

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28.03.2023 | Commentary

Editorial comment on “Development and validation of a novel radiomics-clinical model for predicting post-stroke epilepsy after first-ever intracerebral haemorrhage”

verfasst von: Stefan Pszczolkowski, Zhe Kang Law

Erschienen in: European Radiology | Ausgabe 7/2023

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Excerpt

Epileptic seizures are a common complication of stroke, especially in intracerebral haemorrhage (ICH). Post-stroke epilepsy (PSE) is typically defined as unprovoked seizures occurring beyond 7 days of stroke onset [1], and is associated with increased mortality [2, 3]. The risk of PSE after ICH is increased with younger age, larger haematoma volume, cortical involvement and presence of early seizures [4], but it is unclear if radiological features such as irregular shape or heterogeneous density are associated with PSE. The role of primary prevention of PSE beyond the acute period of ICH remains to be established though a recent phase III randomised controlled trial showing that levetiracetam may be effective in preventing acute seizures [5]. Predicting whether an ICH patient is at risk of developing PSE may inform clinical decision making in the treatment of ICH. …

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Johnson EL, Krauss GL, Kucharska-Newton A et al (2021) Mortality in patients with late-onset epilepsy: results from the atherosclerosis risk in communities study. Neurology 97:e1132–e1140. https://doi.org/10.1212/WNL.0000000000012483CrossRefPubMedPubMedCentral

Law ZK, England TJ, Mistri AK et al (2020) Incidence and predictors of early seizures in intracerebral haemorrhage and the effect of tranexamic acid. Eur Stroke J 5:123–129. https://doi.org/10.1177/2396987320901391CrossRefPubMedPubMedCentral

Peter-Derex L, Philippeau F, Garnier P et al (2022) Safety and efficacy of prophylactic levetiracetam for prevention of epileptic seizures in the acute phase of intracerebral haemorrhage (PEACH): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Neurol 21:781–791. https://doi.org/10.1016/S1474-4422(22)00235-6CrossRefPubMed

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Lin R, Lin J, Xu Y et al (2023) Development and validation of a novel radiomics-clinical model for predicting post-stroke epilepsy after first-ever intracerebral haemorrhage. Eur Radiol. https://doi.org/10.1007/s00330-023-09429-yCrossRefPubMedPubMedCentral

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Pszczolkowski S, Manzano-Patrón JP, Law ZK et al (2021) Quantitative CT radiomics-based models for prediction of haematoma expansion and poor functional outcome in primary intracerebral haemorrhage. Eur Radiol. https://doi.org/10.1007/s00330-021-07826-9CrossRefPubMedPubMedCentral

Titel: Editorial comment on “Development and validation of a novel radiomics-clinical model for predicting post-stroke epilepsy after first-ever intracerebral haemorrhage”
verfasst von: Stefan Pszczolkowski
Zhe Kang Law
Publikationsdatum: 28.03.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 7/2023
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-023-09565-5

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