青年缺血性卒中.pptx

Ischemic Stroke in Young Adult
2001/08/13
Ischemic Stroke in Young adult
Definition：16-45 y/o
Distribution：3-4% of all stroke
Etiology, clinical manifestation, and prognosis are different from elderly
It is important to find the etiologic factor and treat them adequately for preventing the recurrence

Orv Hetil 2001 Mar 25;142(12):607-10
Epidermiology
Northern Sweden Monica, 13 third level and local hospital, age 18-44 y/o, from -May 1996, totally 88 cases
Annual incidence： m vs w
Case fatality rate：% (within 28 days) in Neuro Neurochir pol 2000Nov-Dec;
Increased with age：especially after 35 y/o
Dramatic increased after 45 in other report
Kristensen: Stroke, Volume 28(9).September -1709
Epidemiology
Table 1. Average Annual Age- and Sex-Specific Incidence Rates of First Ischemic Stroke in Young Adults in Northern Sweden, 1991 to 1994
From:   Kristensen: Stroke, Volume 28(9).September -1709
Epidemiology
Table 1. Ages of Young Men and Women With Ischemic Stroke
Arch Neurol. 1995;52:491-495
Etiology
Atherosclerosis is the main cause of stroke in elderly, while emboligenous cardiopathy is the one of the main cause of young adult
 Annali Italiani di Medicina Interna. 11(1):33-8,1996 Jan-Mar
Cardiac embolism was the most common cause of stroke in p’t younger than 40
 Stroke. 30(11):2320-5, 1999 Nov. 20018350
Atherosclerosis was % and cardioembolism was %
 Acta Neurologica Scandinavica. 101(1):19-24, Jan 2000.
Etiology
Atherosclerosis %, Prothrombotic state %, Cardiogenic %
 Orv Hetil 2001 Mar 25;142(12):607-10
Atherosclerosis %, Cardioembolism %, Hematologic %
 Arch Neurol. 1995;52:491-495
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