A retrospective chart review of all patients with cerebrovascular dise
ases attending the outpatients' clinic during a 5-year period was perf
ormed to identify patients with seizures secondary to cerebrovascular
diseases, in order to evaluate the routine clinical management of thes
e 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 pathog
enesis and prognosis of this type of epilepsy. The need to develop pro
tocols of investigation and treatment of vascular epilepsy in order to
improve our current knowledge about poststroke epilepsy is discussed.