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Although most common in elderly, ischemic stroke is seen at every age. Stroke developing in those younger than 45 years of age is called young adult stroke. Since many of the risk factors in young adult stroke are treatable, defining and managing potential causes of ischemic stroke gains much more importance in prevention of secondary stroke. In this study etiological risk factors in young ischemic stroke patients, admitted to Suleyman Demirel University Neurology Clinic between January 1995 and June 2004, were evaluated retrospectively. Twenty-eight (6.1%) were younger than 45 years of age. There were 15 females (53,5%) and 13 males(46,5%). The mean age of patients was 37.6+7.8; there were 15 (51.7%) females and 14 (49.3%) males. Well known stroke-risk factors like hypertension, diabetes mellitus, cardiac disease and atherosclerosis were present in 19 (67.8%) of all cases. Diagnosis in 28.6% was as follows: Antiphospholipid antibody syndrome (2 cases), severe anemia (2 cases), pheochromocytoma (1 case), CADASIL(?)(1 case), infective endocarditis (1 case), No risk factor was found in one case. Again there was no risk factor in one case at whom stroke was thought to develop hemodinamically. Two cases (7.1%) deceased at the acute stage. A significant clinical remission was observed in those surviving. In conclusion, regarding morbidity, recurrence, and mortality, definition and effective treatment of risk factors is fairly important in young adult stroke. |
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