Abstract
This review summarizes post-stroke epilepsy (PSE), including its definition, classification, pathophysiology, epidemiology, risk factors, clinical manifestations, electroencephalographic features, and treatment strategies. PSE is classified into early- and late-onset seizures, with major risk factors including severe stroke, cortical involvement, intracerebral hemorrhage, and early post-stroke seizures. Clinical presentations are highly variable and may be difficult to recognize, whereas electroencephalography plays an important role in selected cases. Management mainly relies on newer antiseizure medications with favorable efficacy and tolerability in older adults. Current evidence does not support the routine prophylactic use of antiseizure medications after stroke.
