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From the Cerebrovascular Unit (Drs. Alvarez-Sabín, Montaner, and Molina, M. Quintana) and the Epilepsy Unit (Drs. Padró and Rovira), Department of Neurology, Hospital Vall dHebron, Barcelona, Spain.
Address correspondence and reprint requests to Dr. José Alvarez-Sabín, Unidad Cerebrovascular, Servicio de Neurología, 6a planta, Hospital General Vall dHebron, Pg. Vall dHebron 119-129, Barcelona 08035, Spain; e-mail: alsa{at}hg.vhebron.es
Stroke is a frequent cause of epileptic seizures (ES) in adults. The authors evaluated the long-term efficacy and tolerability of gabapentin (900 to 1,800 mg/day) in 71 patients with a first poststroke late ES during a mean follow-up time of 30 months. ES recurred in 18.3% of the patients and side effects were noted in 27 cases (38%), but only two (2.8%) required discontinuation or early withdrawal. Gabapentin monotherapy was useful and safe for late poststroke ES.
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