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Although the incidence of acute seizures after ischemic strokes is small, about 1.2%–4.2%,1,2 they still represent a substantial clinical challenge. There are no clear management guidelines, and the effect on stroke outcome is a matter of debate.3 Moreover, experiencing a seizure at stroke onset may represent a relative contraindication for thrombolysis.4 Despite all of these clinical pitfalls and multiple published studies, there remains a lack of knowledge regarding acute seizures after acute ischemic strokes. In this issue of Neurology®, Huang et al.5 add information to this field.
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Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the author, if any, are provided at the end of the editorial.
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- © 2014 American Academy of Neurology
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