Ischaemic cerebral infarction in young adults.
Fifty six patients aged 17 to 45 years who had Ischemic Cerebral Infarction (I.C.I.) were studied. The following etiologies were established: 1. Juvenile atherosclerosis (21 patients); 2. Cerebral embolism either from cardiac (10 patients) and from unknown source (3 patients); 3. Secondary coagulopathies (4 patients); 4. Non atherosclerotic vasculopathies (6 patients); 5. Traumas of skull and neck (3 patients); 6. Migraine (2 patients); 7. Oral contraceptives use (1 patient). In 6 cases the etiology remained unknown. Young subjects with I.C.I. are a heterogeneous group: however in most of them a reasonable cause can be found. The occurrence of acute death (14%) was high, while recurrent stroke (5%) and non acute death (3%) were rare when compared to older patients. At the follow-up 80% had a very little residual motor deficit but only 43% were able to return to previous work.
Federico
F
F
Università Degli Studi di Bari i Clinica Neurologica.
Calvario
T
T
Di Turi
N
N
Paradiso
F
F
D000293:Adolescent; D000328:Adult; D001161:Arteriosclerosis / Q000150:complications*; D002318:Cardiovascular Diseases / Q000150:complications*; D002544:Cerebral Infarction / Q000209:etiology / Q000401:mortality / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged