STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES

Numerous etiologies are responsible for cases of stroke in young adults. This study reviews the causes of two types of stroke (ischemic and intracerebral hemorrhage) in young adults aged 15 to 40years, admitted to our center (a tertiary care center) from 1997 to 2002. The purpose of this study is to...

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Main Authors: M. H. Harirchian, M. Ghaffarpour, D. Doratotaj M. B. Akhavirad
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2006-04-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/3152
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author M. H. Harirchian
M. Ghaffarpour
D. Doratotaj M. B. Akhavirad
author_facet M. H. Harirchian
M. Ghaffarpour
D. Doratotaj M. B. Akhavirad
author_sort M. H. Harirchian
collection DOAJ
description Numerous etiologies are responsible for cases of stroke in young adults. This study reviews the causes of two types of stroke (ischemic and intracerebral hemorrhage) in young adults aged 15 to 40years, admitted to our center (a tertiary care center) from 1997 to 2002. The purpose of this study is to determine the relative frequency of causes of stroke in young adults and compare this with published data in the literature. Using the codes 46.0 to 46.8 of the International Classification of Diseases- 10th Edition (ICD-10), cases were identified from the records of the stroke patients admitted in Imam Khomeini Hospital and the data were collected from their files using a comprehensive questionnaire. Forty-two cases of ischemic stroke (62%) and 26 cases of intracerebral hemorrhage (38%) were identified. The leading cause of ischemic stroke was cardioembolism (38.1%), followed by atherosclerosis in 5 cases (11.9%). Among cardiac causes infarction was attributable to consequences of rheumatic heart disease in 8 cases. In 3 cases a cessation or decrease in dose of warfarin was followed directly by an ischemic stroke. The most leading cause of intracerebral hemorrhage was hypertension (30.8%). Other causes were anticoagulant therapy, intratumoral hemorrhage, aplastic anemia, leukemia, arteriovenous malformations, and chronic active hepatitis. In conclusion, cardioembolism and hypertension were the most leading causes of ischemic and hemorrhagic stroke in young adults admitted in our hospital.
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spelling doaj.art-4b04f5ceb8c843a2bc57dfec1fe2ceb72022-12-21T18:48:36ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942006-04-01442STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES M. H. Harirchian0 M. Ghaffarpour1 D. Doratotaj M. B. Akhavirad2 Numerous etiologies are responsible for cases of stroke in young adults. This study reviews the causes of two types of stroke (ischemic and intracerebral hemorrhage) in young adults aged 15 to 40years, admitted to our center (a tertiary care center) from 1997 to 2002. The purpose of this study is to determine the relative frequency of causes of stroke in young adults and compare this with published data in the literature. Using the codes 46.0 to 46.8 of the International Classification of Diseases- 10th Edition (ICD-10), cases were identified from the records of the stroke patients admitted in Imam Khomeini Hospital and the data were collected from their files using a comprehensive questionnaire. Forty-two cases of ischemic stroke (62%) and 26 cases of intracerebral hemorrhage (38%) were identified. The leading cause of ischemic stroke was cardioembolism (38.1%), followed by atherosclerosis in 5 cases (11.9%). Among cardiac causes infarction was attributable to consequences of rheumatic heart disease in 8 cases. In 3 cases a cessation or decrease in dose of warfarin was followed directly by an ischemic stroke. The most leading cause of intracerebral hemorrhage was hypertension (30.8%). Other causes were anticoagulant therapy, intratumoral hemorrhage, aplastic anemia, leukemia, arteriovenous malformations, and chronic active hepatitis. In conclusion, cardioembolism and hypertension were the most leading causes of ischemic and hemorrhagic stroke in young adults admitted in our hospital.https://acta.tums.ac.ir/index.php/acta/article/view/3152cerebral infarctionintracerebral hemorrhageyoung adults
spellingShingle M. H. Harirchian
M. Ghaffarpour
D. Doratotaj M. B. Akhavirad
STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES
Acta Medica Iranica
cerebral infarction
intracerebral hemorrhage
young adults
title STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES
title_full STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES
title_fullStr STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES
title_full_unstemmed STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES
title_short STROKE IN YOUNG ADULTS: A RETROSPECTIVE STUDY OF 68 CASES
title_sort stroke in young adults a retrospective study of 68 cases
topic cerebral infarction
intracerebral hemorrhage
young adults
url https://acta.tums.ac.ir/index.php/acta/article/view/3152
work_keys_str_mv AT mhharirchian strokeinyoungadultsaretrospectivestudyof68cases
AT mghaffarpour strokeinyoungadultsaretrospectivestudyof68cases
AT ddoratotajmbakhavirad strokeinyoungadultsaretrospectivestudyof68cases