New LEAN Score Helps Predict Late Seizures After Brain Bleeds

Source: European stroke journal

Summary

Researchers studied the risk of developing late seizures in patients who experienced intracerebral hemorrhage, which is bleeding in the brain. They used data from a group of 781 patients treated between 2004 and 2009 in South Limburg, Netherlands. The goal was to create a new prediction tool, called the LEAN score, and compare it to an existing tool known as the CAVE score.

The study found that certain factors increased the likelihood of having late seizures. These factors included being younger than 65 years old, having a specific type of brain bleed (lobar hemorrhage), undergoing any neurosurgery, and experiencing early seizures within the first week after the hemorrhage. The LEAN score can estimate the risk of late seizures, with higher scores indicating a greater risk. For example, patients with the highest score had a 100% chance of developing late seizures.

This research is important because it provides a new way to predict late seizures, which can help doctors make better treatment decisions. The LEAN score is based on easily available information and performs similarly to the CAVE score. However, the study has limitations, such as being based on a specific group of patients, which may not represent all individuals with intracerebral hemorrhage.

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