{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:26:47Z","timestamp":1777426007451,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,5,12]],"date-time":"2017-05-12T00:00:00Z","timestamp":1494547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"2012 Research Grant in Cerebrovascular Diseases (Scientific Promoter: Sociedade Portuguesa do AVC\/Sponsor: Tecnifar)"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Although cerebrovascular disorders are the main cause of <jats:italic>epilepsia partialis continua<\/jats:italic> (<jats:styled-content style=\"fixed-case\">EPC<\/jats:styled-content>) in adulthood, the frequency of <jats:styled-content style=\"fixed-case\">EPC<\/jats:styled-content> after stroke is unknown. The aim was to prospectively ascertain its frequency 1 year after an ischaemic stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective study of consecutive acute anterior circulation ischaemic stroke patients, previously independent, with an admission <jats:styled-content style=\"fixed-case\">National Institutes of Health Stroke Scale<\/jats:styled-content> score \u22654, an acute ischaemic lesion on imaging and no previous epileptic seizures. During admission patients received standardized diagnostic and medical care and were submitted to a neurophysiological evaluation protocol. One year after stroke, patients were re\u2010evaluated by an epilepsy expert neurologist and performed a video\u2010electroencephalogram with electromyography co\u2010registration whenever myoclonus was observed during neurological examination for jerk\u2010locked back averaging analysis (<jats:styled-content style=\"fixed-case\">JLBA<\/jats:styled-content>). <jats:styled-content style=\"fixed-case\">EPC<\/jats:styled-content> was defined as continuously repeated fragments of epileptic seizures, with preserved consciousness, lasting at least 1 h, and representing locally restricted epileptic activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 151 acute anterior circulation stroke patients were consecutively included and prospectively evaluated, but 23 died in the first year. One year after stroke, from 127 patients alive, 117 (92.1%) underwent clinical and neurophysiological evaluation. In two (1.7%) patients, <jats:styled-content style=\"fixed-case\">EPC<\/jats:styled-content> diagnosis was made both by clinical and electroencephalographic criteria, namely <jats:styled-content style=\"fixed-case\">JLBA<\/jats:styled-content>. Both patients had a history of remote symptomatic seizures and one of them acute symptomatic seizures and non\u2010convulsive status epilepticus criteria during the first 7 days after stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite its low frequency, the high stroke incidence makes post\u2010stroke <jats:styled-content style=\"fixed-case\">EPC<\/jats:styled-content> relevant. This study draws attention to this recognizable condition with therapeutic and eventually prognostic implications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.13310","type":"journal-article","created":{"date-parts":[[2017,5,12]],"date-time":"2017-05-12T05:29:20Z","timestamp":1494566960000},"page":"929-934","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["<i>Epilepsia partialis continua<\/i> after an anterior circulation ischaemic stroke"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2399-7678","authenticated-orcid":false,"given":"C.","family":"Bentes","sequence":"first","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4371-9272","authenticated-orcid":false,"given":"A. 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R.","family":"Peralta","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Viana","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Department of Medicine Hospital de S\u00e3o Jos\u00e9 \u2013 CHLC  Lisboa Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Morgado","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Casimiro","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Geraldes","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Canh\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Pinho e Melo","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health (Neurology) Hospital de Santa Maria \u2013 CHLN  Lisbon Portugal"},{"name":"Faculty of Medicine University of Lisbon  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Paiva","sequence":"additional","affiliation":[{"name":"Electroencephalography and Clinic Neurophysiology Centre (CENC)  Lisboa Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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