Evidence map›Paper›PMID 41084703›Full record

ReviewCureus2025

Risk Factors Associated With Post-stroke Epilepsy: A Narrative Review.

Nethra Somannagari, Alousious Kasagga, Aayam Sapkota, Gichin Changaramkumarath, Jane M Abucha, Mekdes M Wollel, Paolo S Chavez Cavalie

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nethra SomannagariNeurology, Gandhi Medical College, Hyderabad, IND.
Alousious KasaggaPathology, Peking University, Beijing, CHN.
Aayam SapkotaPathology, California School of Podiatric Medicine, Oakland, USA.
Gichin ChangaramkumarathInternal Medicine, Chongqing Medical University, Chongqing, CHN.
Jane M AbuchaInternal Medicine, American University of Integrated Sciences, Phoenix, USA.
Mekdes M WollelPediatrics and Child Health, University of Gondar, Gondar, ETH.
Paolo S Chavez CavalieSurgery, Universidad Peruana de Ciencias Aplicadas, Lima, PER.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-stroke epilepsy (PSE) is a condition that impacts a notable portion of stroke survivors and is linked to worse health outcomes, such as increased risk of death and longer disability. PSE refers to seizures that occur unexpectedly after the first week following a stroke and result from several biological processes, including inflammation and damage from overactive nerve signaling. Existing prediction tools help identify high-risk patients but can be limited by inconsistent evaluation of risk factors. Twenty-seven studies were selected from databases including PubMed, Cochrane Library, and EBSCO using Medical Subject Headings (MeSH) terms and keywords related to stroke, epilepsy, and risk factors. Studies published between 2020 and 2025 were included based on predefined eligibility criteria. During the analysis, a wide range of risk factors were identified, including patient demographics (age, sex, comorbidities, genetic predisposition), stroke features (cortical involvement, lesion size, acute symptomatic seizures), diagnostic findings (early electroencephalogram abnormalities, structural changes on magnetic resonance imaging), and biochemical markers (blood proteins, microRNAs, TNFSF-14). Early interventions, such as hematoma evacuation and thrombectomy, also show potential in reducing PSE risk, while emerging biomarkers, including specific blood proteins and miRNAs, offer promise for early diagnosis. It is recognized that both the occurrence and the timing of early seizure activity may be important for patient outcomes. Interestingly, deep grey matter loss and asymmetrical perivascular spaces were also associated with a higher risk of PSE. Despite these advances, considerable variability remains a challenge across studies. Together, these insights highlight the need for a unified approach to develop better tools for assessing PSE risk, with the ultimate goal of preventing this complication during stroke care.

Indexed as

epilepsypost-stroke complicationspost-stroke epilepsyrisk factors‎stroke

Identifiers

PMID41084703
PMCPMC12515394

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.