What exactly does it mean if a stroke victim has a seizure?

Result of stroke: Strokes cause damage to brain cells. Days, months, or even years later, the area damaged by the stroke can sometimes be a source of seizures. In older patients, strokes are a common cause of seizures. Talk with your doctor- an anti-seizure medicine may be needed.

Not unusual: Approx 10% of stroke patients have seizures within 5 years after a stroke. Some of these patients have multiple seizure episodes, and are diagnosed with post-stroke epilepsy. Seizures soon after stroke may be related to blood product irritation (hemorrhagic strokes) or related to decreased blood flow, hypoxia (low oxygen) or other factors for ischemic (embolic) stroke.

Not rare: In the older age group, seizures are often caused by cerebrovascular disease, and needs preventative treatment. Many anti-epileptic drugs are useful, but since older folks take multiple meds, best to find one without drug-drug interactions, such as lyrica, keppra, vimpat, (lacosamide) neurontin, etc.