A retrospective chart review of all patients with cerebrovascular diseases attending the outpatients'' clinic during a 5-year period was performed to identify patients with seizures secondary to cerebrovascular diseases, in order to evaluate the routine clinical management of these patients. We found 57 epileptic patients out of 985 cases regularly followed for cerebrovascular diseases. The clinical characteristics of these 57 patients were similar to those found in the literature. The investigation routinely performed was barely elucidative of the pathogenesis and prognosis of this type of epilepsy. The need to develop protocols of investigation and treatment of vascular epilepsy in order to improve our current knowledge about poststroke epilepsy is discussed.

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