title: [Risk of recurrent stroke in adults aged under 45 years following a first ischemic stroke: a five-year study of 95 patients].
abstract: Few data are available concerning the risk of recurrence of cerebral ischemic infarction in young adults (less than 45-years-old) after a first episode of ischemic stroke. From 1992 to 1996, 95 patients less than 45 years old were enrolled in a prospective study in order to define the etiology of their ischemic infarction with systematic and exhaustive explorations. They were recalled five years later (mean follow-up of 67,07 +/- 25,6 months) to determine the risk of stroke recurrence, the rate of cardiac and vascular events and the mortality. At 5 years, 4 patients had a recurrence of ischemic stroke (4.7 p. cent). Seven patients had a coronary event (4 myocardial infarction and 4 angina). Eleven patients died (6 during the acute period). No recurrence of stroke was noticed in patients with stroke of undetermined cause or with minor cardiopathy (abnormalities of the atrial septum). The risk of recurrence of ischemic stroke in young adults appears to be very low.
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology; D003327:Coronary Disease / Q000453:epidemiology; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D009422:Nervous System Diseases / Q000453:epidemiology / Q000209:etiology; D011446:Prospective Studies; D012008:Recurrence; D012306:Risk; D020521:Stroke / Q000453:epidemiology* / Q000401:mortality / Q000503:physiopathology
vernacular_title: Risque de récidive d'infarctus cérébral chez des adultes jeunes âgés de moins de 45 ans ayant présenté un premier infarctus cérébral. Etude à 5 ans d'une population de 95 patients.