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Updated: Mar 17, 2026

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Young ischemic stroke in Tunisia: a multicentric study.

Asma Kefi1, Thara Larbi1, Meya Abdallah1

  • 1a Department of Internal Medicine, Mongi Slim Hospital , Tunis , Tunisia , and Faculty of Medicine of Tunis , Tunis El Manar University , Tunis , Tunisia.

The International Journal of Neuroscience
|July 19, 2016
PubMed
Summary
This summary is machine-generated.

Young ischemic stroke in Tunisia is linked to common risk factors like smoking and hypertension. A thorough diagnostic workup is essential for effective stroke prevention strategies in young adults.

Keywords:
ischemic strokeprognosisrisk factorsyoung adults

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Limited data exists on young ischemic stroke in developing nations, particularly Tunisia.
  • Understanding risk factors and etiologies is crucial for targeted prevention.

Purpose of the Study:

  • To investigate risk factors and etiologies of young ischemic stroke in Tunisian patients.
  • To compare findings with existing international reports on young stroke.

Main Methods:

  • A cohort of 102 young ischemic stroke patients (15-45 years) was studied across Tunisian hospitals.
  • Comprehensive diagnostic workup included clinical assessment, laboratory tests, and imaging.
  • Etiologies were classified using the Trial of ORG 10172 in acute stroke treatment criteria.

Main Results:

  • The majority of patients were female (58.89%), with a mean age of onset at 35.7 years.
  • Most common etiologies included 'other determined' (37.3%) and undetermined (35.3%).
  • Prevalent risk factors were smoking (31.4%), hypertension (12.7%), diabetes mellitus (12.7%), and family history (10.8%).

Conclusions:

  • Traditional risk factors are prevalent in young adults with ischemic stroke in Tunisia.
  • Controlling modifiable risk factors like smoking and hypertension is key for prevention.
  • A detailed diagnostic approach is vital to identify stroke etiology for improved prevention efforts.