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Post-traumatic epilepsy (PTE) is a form of acquired epilepsy that results from brain damage caused by physical trauma to the brain (traumatic brain injury, abbreviated TBI). [1] A person with PTE experiences repeated post-traumatic seizures (PTS, seizures that result from TBI) more than a week after the initial injury. [ 2 ]
PTS occur in about 3.1% of traumatic brain injuries, but the severity of injury affects the likelihood of occurrence. [9] The most important factor in whether a person will develop early and late seizures is the extent of the damage to the brain. [2] More severe brain injury also confers a risk for developing PTS for a longer time after the ...
Brain injury can occur at the site of impact, but can also be at the opposite side of the skull due to a contrecoup effect (the impact to the head can cause the brain to move within the skull, causing the brain to impact the interior of the skull opposite the head-impact). While impact on the brain at the same site of injury to the skull is the ...
The relative risk of post-traumatic seizures increases with the severity of traumatic brain injury. [20] Pain, especially headache, is a common complication following a TBI. [1] Being unconscious and lying still for long periods can cause blood clots to form (deep venous thrombosis), which can cause pulmonary embolism. [21]
A brain injury can cause seizure(s) because of the unusual amount of energy that is discharged across of the brain when the injury occurs and thereafter. A disruption of the supply of oxygen may cause damage to the temporal lobe of the brain. [35] The risk of seizure(s) from a closed head injury is about 15%. [36]
Traumatic brain injury is defined as damage to the brain resulting from external mechanical force, such as rapid acceleration or deceleration, impact, blast waves, or penetration by a projectile. [10] Brain function is temporarily or permanently impaired and structural damage may or may not be detectable with current technology. [11]
Strokes, brain bleeds, and traumatic brain injury can all also lead to epilepsy if seizures re-occur. If the first seizure occurs more than 7 days following a stroke, there is a higher chance of the person developing epilepsy. [27] Post-stroke epilepsy accounts for 30%-50% of new epilepsy cases. [27]
Closed-head injuries are caused primarily by vehicular accidents, falls, acts of violence, and sports injuries. [4] Falls account for 35.2% of brain injuries in the United States, with rates highest for children ages 0–4 years and adults ages 75 years and older. [3] Head injuries are more common in men than women across every age group. [3]
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