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[Cerebral strokes at young age]
Insights
Cerebral strokes, including ischemic and hemorrhagic types, affect young adults, with arterial hypertension and vessel anomalies as key causes. Pregnancy significantly increases stroke risk in this demographic.
Area of Science:
- Neurology
- Vascular Medicine
- Epidemiology
Context:
- Cerebral stroke incidence in young adults (15-44 years) represents 9.4% of all stroke hospitalizations.
- This study analyzes 791 young patients with various cerebral stroke types.
Purpose:
- To investigate the demographics, causes, and outcomes of cerebral stroke in young adults.
- To identify risk factors, including pregnancy, associated with stroke in this age group.
Summary:
- Ischemic stroke (IS) affected 477 patients (60.3%) and hemorrhagic stroke (HS) affected 293 patients (37.3%).
- Men were twice as likely to experience cerebral stroke as women.
- Key causes included arterial hypertension, cerebral vessel anomalies, rheumatism, and atherosclerosis; pregnancy emerged as a significant risk factor.
Impact:
- Understanding stroke in young adults is crucial for targeted prevention and treatment strategies.
- Highlights the importance of considering vascular health and pregnancy-related risks in younger populations.
Abstract:
791 patients aged 15-44 years with different forms of cerebral stroke that accounted for 9.4% from all the patients hospitalized because of stroke were treated. Ischemic stroke (IS) was diagnosed in 477 patients (60.3%), hemorrhagic stroke (HS) in 293 patients (37.3%), thromboses of the sinuses and veins of the brain in 19 patients (2.4%). IS to HS was 1.6:1; cerebral strokes were observed in men twice as frequently as in women. The main causes of HS (180 men, 115 women) were anomalies of cerebral vessels and arterial hypertension. Intracerebral and subarachnoidal hemorrhage occured with the same frequency. 38% of the patients died. The main causes of IS in 477 patients (285 men, 192 women) were arterial hypertension, rheumatism and atherosclerosis of cerebral and precerebral arteries. Embolic strokes occurred 4,5 times more frequently in women, than in men. 6.7% of the patients died. Among the patients with disorders of venous cerebral circulation (13 women, 6 men) 2 women with thrombosis of upper longitidinal sinus died. According to authors' data pregnancy and delivery are a significant risk factor for development of all forms of cerebral stroke.