Introduction: Etiological factors causing childhood epilepsy have wide variety, including strokes. One of the features of stroke in childhood is manifest of vascular accident as seizures.

Objective: To analyze link between manifest of stroke with seizures and post-stroke epilepsy.

Methods: We examined 150 children from birth to 14 years with stroke. Conducted MRI, EEG studies.

Results: Among managed patients 60% (90) has hemorrhagic stroke, 40% (60) ischemic . 53% (80) of children has perinatal stroke . In 60% (39) of hemorrhagic stroke, vascular accident began with seizures, epilepsy formed in all this patients. During recovering period in 21.5 % (14). Refractory epilepsy formed in 25.6 % (10), others corrected with medicines. Type of seizures: mainly partial 32.3% (20), with secondary generalization 21% (13)- dominantly tonic convulsions 21% (13) , 16.1% (10) myoclonic .

When ischemic stroke was analyzed, 34% of patients has convulsions (33) and they are mainly represented by partial seizures 44.1 % (15) and secondary generalized seizures with tonic component 32.5% (11). From the amount of ischemic stroke convulsions in the most acute period convulsions appeared in 45.5% (15), in the late period in 54.5% (18). Later 48.5% (16) were observed as post-stroke epilepsy, which controlled by medicines.

Conclusion

Hemorrhagic stroke characterized with earlier onset of seizures 46% (30), ischemic with late 54.5% (18).

Post-stroke epilepsy occurred in 60% (39) with hemorrhagic stroke and in 48.5 % (16) with ischemic.

The severity of neurological deficiency, seizure types, epileptic focus localization impact on the overall outcome of stroke.