[Post-Stroke Epilepsy and Vascular Dementia].

Abstract

Epilepsy and cognitive impairment are major post-stroke complications. As society ages, the number of stroke survivors increases, leading to a greater interest in these complications. Post-stroke epilepsy accounts for approximately half of all epilepsy cases in older adults and is associated with physical disability and mortality, emphasizing the importance of controlling seizures. Research is progressing on diagnostic methods, primary prevention, and secondary prevention of post-stroke epilepsy. Vascular dementia and Alzheimer's disease are the two major types of dementia and can be prevented and treated by addressing vascular risk factors such as hypertension, dyslipidemia, and diabetes. Currently, there are no available treatments to reverse vascular dementia, and many challenges remain unresolved. This review discusses the information necessary for clinical practice, including diagnostic criteria, classification, risk factors, measurements, and appropriate treatments for post-stroke complications.