Stroke in young adults

Research output: Contribution to journalArticle

185 Citations (Scopus)

Abstract

Strokes in young adults are uncommon and often a diagnostic challenge. A retrospective study of strokes due to intracerebral hemorrhage, subarachnoid hemorrhage, or cerebral infarction was undertaken. We reviewed the medical records of 113 young patients aged 15-45 years who were admitted to the Medical Center Hospital of Vermont with a diagnosis of stroke between 1982 and 1987. This group comprised 8.5% of patients of all ages admitted for stroke, 2.3 times the proportion observed in the National Survey of Stroke. Nontraumatic intracerebral hemorrhage was diagnosed in 46 young patients (41%); the main causes included aneurysms, arteriovenous malformations, hypertension, and tumors. Subarachnoid hemorrhage was found in 19 young patients (17%); the majority were due to aneurysms. The remaining 48 young patients (42%) had cerebral infarction, the majority due to cardiogenic emboli and premature atherosclerosis. Mitral valve prolapse, the use of oral contraceptives, alcohol drinking, and migraine were infrequent sole causes of cerebral infarction in the absence of other risk factors. The case-fatality rate for this group of young patients with stroke was 20.4% compared with 23.9% for the National Survey of Stroke. Young adults with stroke deserve an extensive but tailored evaluation, which should include angiography and echocardiography.

Original languageEnglish
Pages (from-to)382-386
Number of pages5
JournalStroke
Volume21
Issue number3
StatePublished - Mar 1 1990
Externally publishedYes

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Young Adult
Stroke
Cerebral Infarction
Cerebral Hemorrhage
Subarachnoid Hemorrhage
Aneurysm
Mitral Valve Prolapse
Arteriovenous Malformations
Oral Contraceptives
Embolism
Migraine Disorders
Alcohol Drinking
Medical Records
Echocardiography
Atherosclerosis
Angiography
Retrospective Studies
Hypertension
Mortality
Neoplasms

Keywords

  • Cerebrovascular disorders
  • Young adults

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

Cite this

Stroke in young adults. / Bevan, Heather; Sharma, Khema R; Bradley, Walter G.

In: Stroke, Vol. 21, No. 3, 01.03.1990, p. 382-386.

Research output: Contribution to journalArticle

Bevan, H, Sharma, KR & Bradley, WG 1990, 'Stroke in young adults', Stroke, vol. 21, no. 3, pp. 382-386.
Bevan H, Sharma KR, Bradley WG. Stroke in young adults. Stroke. 1990 Mar 1;21(3):382-386.
Bevan, Heather ; Sharma, Khema R ; Bradley, Walter G. / Stroke in young adults. In: Stroke. 1990 ; Vol. 21, No. 3. pp. 382-386.
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