Case Report: Epilepsi Pasca Stroke pada Pasien Laki-Laki Usia 62 Tahun

Post-stroke seizures are a common complication in post-stroke patients, reported that around 8-15% of cases can develop into post-stroke epilepsy. A 62-year-old man complained of seizures 1x since 2 hours before entering the hospital. The patient experienced seizures for about 5 minutes at home. During the seizure, it began with the patient's mouth as if chewing something and his eyes glaring upwards. Then followed by stiffness in the hands and feet and continued with jerking movements. When the seizure occurred, the patient was also unconscious and foaming at the mouth. Seizures have occurred frequently since last year after the patient had a stroke. The seizures that occurred in the patient have occurred frequently since one month the patient had a stroke in 2019. The last history of seizures was 2 weeks ago while being treated in the hospital with a duration of approximately 30 minutes and a second awakening occurred 2 hours after the first awakening. The patient has weakness on the right side of the body and has been unable to speak since the first stroke. We gave phenytoin 100 mg/12 hours. CT scan of the head in 2024 showed no abnormalities and no infarction or bleeding. Seizures in post-stroke patients are divided into early onset seizures and late onset seizures. Male stroke patients aged <65 years with a history of hypertension have a higher risk of experiencing Post-Stroke Epilepsy (PSE). Patients in this case have a high risk of experiencing PSE due to a history of stroke, in addition there is a history of uncontrolled hypertension and age <65 years.