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Transient Middle Cerebral Artery Occlusion Model of Stroke
Published on: August 11, 2023
Cerebrovascular disease and stroke in Korean male adolescent
Chang Hyun Oh1, Joonho Chung, Dongkeun Hyun
1Seoul Regional Military Manpower Administration, Seoul, Korea.
Insights
This study found the prevalence and incidence of cerebrovascular disease (CVD) and stroke in Korean male adolescents. Moyamoya disease incidence was notably high, while arteriovenous malformation incidence was low.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Cerebrovascular diseases (CVD) and stroke pose significant health challenges globally.
- Understanding the epidemiology of these conditions in adolescent populations is crucial for targeted prevention and treatment strategies.
Purpose of the Study:
- To determine the prevalence and incidence of cerebrovascular disease (CVD) and stroke in Korean male adolescents.
- To compare these rates with global data and analyze specific CVD subtypes.
Main Methods:
- Retrospective review of medical certificates, records, and radiologic images.
- Data collected from Korean military conscription examinations between January 2008 and May 2011.
- Analysis of 101,156 male adolescent examinees.
Main Results:
- The overall prevalence of CVD and stroke was 39.54 per 100,000 adolescents, with an incidence of 2.08 per 100,000 per year.
- Moyamoya disease showed a significantly higher incidence (15.82 per 100,000 per year) in this cohort compared to global rates.
- Arteriovenous malformation incidence (0.57 per 100,000 per year) was lower than in the worldwide general population.
Conclusions:
- Korean male adolescents exhibit a high incidence of Moyamoya disease and a low incidence of arteriovenous malformation.
- Stroke cases were roughly evenly split between ischemic and hemorrhagic types.
- Findings highlight the need for further research into the specific risk factors and management of CVD in this demographic.
Purpose:
This study aimed to estimate the prevalence and incidence of cerebrovascular disease (CVD) and stroke in Korean male adolescents.
Materials And Methods:
The authors reviewed all medical certificates, medical records, and radiologic images from the examinations of Korean military conscription from January 2008 to May 2011.
Results:
Of the 101,156 examinees, 40 had CVD and stroke during adolescence. The overall prevalence and incidence of CVD and stroke was 39.54 cases per 100,000 adolescents and 2.08 cases per 100,000 adolescents per year, respectively and these were similar to the worldwide data. There were 3 cases of aneurysm, 3 cases of dural arteriovenous fistula, 11 cases of arteriovenous malformation, 4 cases of cavernous hemangioma, 4 cases of cerebrovascular infarction, 16 cases of Moyamoya disease, and 1 case of missing data. The incidence of arteriovenous malformation (0.57 cases per 100,000 adolescents per year) was lower than the incidence for the worldwide general population. The incidence of Moyamoya disease was higher than that in any other country (15.82 cases per 100,000 adolescents, vs. 0.83 cases per 100,000 adolescents per year).
Conclusion:
We observed ischemic and hemorrhagic stroke, each accounting for approximately half of cases, and high incidence of Moyamoya disease with low incidence of arteriovenous malformation in Korean male adolescents.
Related Concept Videos
Hemorrhagic Stroke l: Introduction
Hemorrhagic Stroke ll: Pathophysiology
Stroke: Introduction and Types
Ischemic Stroke l: Introduction
Ischemic Stroke ll: Pathophysiology
Cerebral Edema ll: Pathophysiology

