Ischemic Stroke in Young Adults

Montanaro, Vinícius Viana Abreu; Freitas, Denise da Silva; Ruiz, Miguel C.M.; Cavalcanti, Eduardo Boiteux Uchôa; Marinho, Paulo Roberto Silva; Freitas, Maria C.D.N.B.; Oliveira, Eleonora M.J.d.

doi:10.1097/nrl.0000000000000110

Cited by 12 publications

(5 citation statements)

References 10 publications

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“…The percentage of hypertension was 21% in this study, which was similar to Montanaro et al (25) in Brazil who found about 20% of patients were hypertensive but lower than most of the other studies such as Chraa et al (10) in Morocco, Fahmi et al (26) in Egypt, Schneider et al (23) in Estonia, Magwood et al (22) in US, and Kissela et al (8) where the percentage of hypertensive patients ranged from 36% to 56% of their patients.…”

Section: Discussionsupporting

confidence: 87%

“…Regarding parenchymal imaging, most of the studied patients (74%) had infarctions in the anterior circulation which was nearly similar to 71% and 80 % of patients found by Lutski et al (30) and Montanaro et al (25) respectively to have anterior circulation strokes. As regards vascular imaging, 70% of the studied patients had normal vascular imaging, about 15% had atherosclerotic vasculopathy [5.7% had extracranial atherosclerosis, 5.6% had intracranial atherosclerosis and 2.8% had combined intracranial and extracranial atherosclerosis] and 15% had non atherosclerotic vasculopathy.…”

Section: Discussionsupporting

confidence: 83%

“…On the other hand, Schneider et al (23) found that cardioembolism represented 17% of their study. Gökçal et al (20) found 19% of the sample had CE while Montanaro et al (25) and Lutski et al (30) found only 15.7% and 8% had CE etiology respectively.…”

Section: Discussionmentioning

confidence: 98%

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Hospital Based Study in Assessment of Risk Factors of Stroke in Young Adults

Hassan¹,

Aboulfotooh²,

Yahia³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Stroke is frequently thought of as an old age disease, yet 10% of stroke victims are thought to be under the age of 45. Although the causes of this increase are unknown, there is evidence that the incidence of ischemic stroke in young adults is growing. A different strategy to inquiry and care is needed for stroke in the young compared to stroke in the old. Patients undergoing carotid revascularization operations benefit from the diagnostic and postinterventional evaluation of carotid artery disease provided by neurosonology. Objective: This study aimed at studying the risk factors and most common etiologies of stroke in young adults. Patients and Methods: We recruited patients with acute ischemic stroke or transient ischemic attack with age older than 18 and younger than 40 years old, who were admitted in the Stroke Unit -Neurology department, Kasr-Alainy Hospital within the first week of acute event.Results: Analysis was done for 70 ischemic stroke patients from urban and rural areas. In Males, cardio-embolic, drug-induced and undetermined causes were the most common etiologies for stroke representing together 63.3% (21 patients). While among females, about half of the cases (48.6%) were due to cardio-embolic etiology. Age was significantly lower in stroke of other determined etiology (p<0.01) and significantly higher in stroke of undetermined etiology (p=0.01). Conclusion: Stroke in young adult patients still has more specific causes, which are less common in the older age group. So, diagnosis needs a more oriented approach to reach the proper stroke etiology for further secondary prevention in those patients.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 83%

See 1 more Smart Citation

Hospital Based Study in Assessment of Risk Factors of Stroke in Young Adults

Hassan¹,

Aboulfotooh²,

Yahia³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…There has been increasing interest in the rising figures of stroke incidents in working young adults. According to one transversal retrospective study which analyzed electronic medical records (EMR) data during a four-year period for 134 patients aged 18 - 45, the average age of stroke patients appeared to be 33 years, and the majority were females (56%) [ 4 ]. However, the proportion of the first-ever stroke in young adults differed from country to country, ranging from < 5% to 20% of all strokes [ 1 ].…”

Section: Reviewmentioning

confidence: 99%

Occupational Physical Activity in Young Adults and Stroke: Was It Due to My Job?

Abdalla

Rutkofsky

Syeda

et al. 2018

Cureus

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The association of physical activity and stroke among working young adults and vice versa has increasingly empathized in recent years. Lack of physical activity, along with many other modifiable risk factors, such as hypertension, obesity, atherosclerosis, and diabetes, contributes through vascular dysfunction to the development of adverse cerebrovascular events in the future and has always been a topic of interest in the fields of neurology and stroke rehabilitation. We wrote this review article to elaborate on this relationship in detail. This article suggests that the physical activity role in stroke development and the rehabilitation process has a diverse role, where individuals with low physically active occupations are prone to develop a stroke more readily in comparison with other workers who have a moderate amount of physical activity in their jobs; however, less mobility appeared to be harmful too soon after stroke. In addition, we elucidate the effects of physical activity on sympathetic activity and remodeling of vascular response. Alterations in the neuroendocrine system include several factors. This includes harmful changes caused by increasing levels of epinephrine and norepinephrine. These changes are seen with stress-induced cerebrovascular injury and are often elevated in post-stroke patients. In contrast, post-stroke patients engaged in physical activity may prevent these harmful neurotrophic factors by reducing the elevated levels of epinephrine and norepinephrine. However, we need more studies in the near future to further explore this association process. Therefore, we recommend more research to explore the relationship of occupation-related factors and adverse stroke outcomes.

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“…На актуальность проблемы указывает и высокая частота криптогенного инсульта (15-40%), т.е. инсульта неустановленной этиологии [1][2][3][4][5]. Кроме того, за последние годы изменились причины ИИ.…”

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