[Diagnosis of stroke in young adults].
42 patients aged up to 35 years who had suffered a stroke were analysed according to etio-pathogenetic and prognostic criteria. The cause of the stroke could be explained with certainty only in ten patients and with high probability in a further eight. In a quarter of the cases the aetiology was completely obscure. Diagnostic gaps exist especially in haemostatic, virological and cardiological areas. Three patients died from the stroke. Follow-up showed that 40% of patients were able to resume their previous occupation. Relapses were observed in cases with disseminated lupus erythematosus and endocarditis. The relatively low rate of clarified cases (42%) is partly due to selection but also to the gaps in diagnostic knowledge. Accordingly, a stepwise diagnostic program was set up, based upon urgency and technical expenditure, that took into account not only the minimal needs for a sound initial diagnosis but also the extensive differential diagnoses for less common causes of stroke.
D000293:Adolescent; D000328:Adult; D001161:Arteriosclerosis / Q000150:complications; D002339:Carotid Arteries / Q000473:pathology; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000401:mortality; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000175:diagnosis* / Q000209:etiology / Q000534:rehabilitation; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects; D004562:Electrocardiography; D004696:Endocarditis / Q000150:complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D008297:Male; D008945:Mitral Valve Prolapse; D011379:Prognosis; D012008:Recurrence; D012907:Smoking; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D003278:Contraceptives, Oral, Hormonal
Die Diagnostik des Schlaganfalls bei jungen Erwachsenen.