Seizure prevention in patients with intracerebral haemorrhage

In patients with acute spontaneous intracerebral haemorrhage, seizures are not rare, and, in cohort studies, have been estimated to occur in about a third of these patients. The majority of seizures are identified by use of EEG and are detected within the first 24 h after onset of intracerebral haemorrhage.1 It is uncertain whether seizures have a negative effect on patients’ short-term or long-term outcomes after intracerebral haemorrhage, with observational data not confirming any association between seizures after intracerebral haemorrhage and functional outcome, although most studies have assessed seizures only clinically.