Stroke is the most common cause of seizures, symptomatic epilepsy, and status epilepticus in elderly. Symptomatic stroke-related seizures symptoms are dependent on lesions topography. All types of focal seizures can be observed. Many clinical studies make a distinction between early (within 7 to 14 days of stroke onset) and late (beyond 14 days of stroke onset) seizures based on presumed physiopathological differences. The diagnosis of a seizure during the acute phase of a stroke can be difficult in the absence of a witness when there are disorders of vigilance and speech. The use of antiepileptic drugs is discussed in all cases. New antiepileptic drugs appear to be most appropriate. The aim of this study is to present an overview of the epidemiological, clinical and therapeutic features of vascular epilepsy based on meta-analyses and the more recently published expert recommendations.