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In recent years there has been an increased interest in the study of PSS which may give clinical practitioners a better picture of how to optimise PSS management. Studies have indicated two peaks in PSS occurrence\u2014the first day and 6\u201312 months after a stroke. Haemorrhagic stroke, cortical involvement, severity of initial neurological deficit, younger patients (&lt;65\u2009years of age), family history of seizures and certain genetic factors carry a higher risk of PSS. The use of continuous electroencephalogram has demonstrated significant benefits in capturing interictal or ictal abnormalities, especially in cases of non-convulsive seizures and non-convulsive status epilepticus. Current available data indicated that there was no significant difference in antiepileptic efficacy among most of the antiepileptic drugs (AEDs) in PSS. Levetiracetam and lamotrigine are the most studied newer generation AEDs and have the best drug tolerance. The purpose of this review is to summarise the recent advances in PSS research and focus on the most important practice issues of PSS management.<\/jats:p>","DOI":"10.1136\/svn-2018-000175","type":"journal-article","created":{"date-parts":[[2018,12,10]],"date-time":"2018-12-10T07:15:30Z","timestamp":1544426130000},"page":"48-56","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":68,"title":["Poststroke seizure: optimising its management"],"prefix":"10.1136","volume":"4","author":[{"given":"Michael Y","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Neurology, OSF Illinois Neurological Institute, University of Illinois College of Medicine, Peoria, Illinois, 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