Assessment of neuromodulation and behavioral effects by 5 days of navigated CTBS of non-lesional hemisphere in stroke: A case report

Abstract

We studied young hemorrhagic stroke patients (YHSP; 50 years cut off) admitted to Cleveland Clinic Abu Dhabi (CCAD). We studied demographics, risk factors, stroke subtype and outcomes. We used descriptive statistics and student t test for continuous variables (Pb0.05).There were 45 YHSP: (mean age 39.2 y; min 20, max 50), there were 13 women (28.9%) and 32 men (71.1%); there was no age difference between the two (40.0 vs. 39.3; p=ns); there were 8 UAEN (17.8%) and 37 expats (82.2%) and there was no age difference between the two (43.6 vs. 38.6; p=0.057). There were 21 (46.7%) intracerebral hemorrhage patients [ICH; 14 primary (31.1%); 7 secondary (15.6%)], and 24 (53.3%) subarachnoidal hemorrhage (SAH) patients; there was no age difference between the two (40.6 vs. 38.5y). The risk factors included hypertension (52%), dyslipidemia (27.1%), smoking 12 (25%), obesity 13 (27.1%) in the whole group. Initial mean NIHSS score was 13.6 (range 0-35); 37.8% of patients had mRS 0-1at discharge, case fatality was 20%.Our data show high prevalence of hypertension and dyslipidemia in YHSP. More than 1/3 of YHSP had favorable outcome at discharge. Larger scale studies are needed to further elucidate hemorrhagic stroke epidemiology and prognosis in UAE especially in young patients.