Ischemic Stroke in Young Adults Risk Factors, Subtypes, and Prognosis

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dc.contributor.authorBalci, Kemal
dc.contributor.authorUtku, Ufuk
dc.contributor.authorAsil, Talip
dc.contributor.authorCelik, Yahya
dc.date.accessioned2024-06-12T11:17:27Z
dc.date.available2024-06-12T11:17:27Z
dc.date.issued2011
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Ischemic strokes occurring in patients younger than 47 years is a relatively rare event and accounts for less than 5% of all ischemic strokes in western countries. Objective: The etiologic spectrum in younger patients and older patients differs considerably. Methods: In this hospital case series study, we enrolled 192 patients with ischemic stroke, aged 18 to 47 years, all of whom were submitted to a diagnostic protocol. The risk factors for stroke and the distribution of stroke subtype and prognosis were studied. Modified diagnostic criteria adopted from the Trial of ORG 10172 in Acute Stroke Treatment and the Baltimore-Washington Cooperative Young Stroke Study, were used for etiologic classification. Results: Hypertension was found to be the main risk factor (45%) followed by cigarette smoking (37%), hyperlipidemia (35.4%), diabetes mellitus (17%), and family history of stroke (18%). Hypertension, diabetes mellitus, hypercholesterolemia, and smoking were present either alone or in combination in the majority of our patients. Oral contraceptives were being taken by 25% of the women. The etiology of stroke was as follows: atherothrombosis 26.5%, cardioembolism 20%, nonatherosclerotic vasculopathies 13%, other determined causes 10%, lacunar stroke 6%, migraine 3.6%, and undetermined causes 21%. Conclusions: Hypertension, diabetes mellitus, hypercholesterolemia, and smoking were the most common risk factors in our ischemic stroke patients between 18-47 years of age. Health care programs targeting the prevention and treatment of these factors will reduce the associated morbidity and mortality of stroke among this socioeconomically active age group.en_US
dc.identifier.doi10.1097/NRL.0b013e3181f954a7
dc.identifier.endpage20en_US
dc.identifier.issn1074-7931
dc.identifier.issue1en_US
dc.identifier.pmid21192186en_US
dc.identifier.scopus2-s2.0-78651355848en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage16en_US
dc.identifier.urihttps://doi.org/10.1097/NRL.0b013e3181f954a7
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24705
dc.identifier.volume17en_US
dc.identifier.wosWOS:000285776700003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofNeurologisten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectYoung Strokeen_US
dc.subjectRisk Factorsen_US
dc.subjectPrognosisen_US
dc.subjectCerebral Infarctionen_US
dc.subjectClassificationen_US
dc.subjectEchocardiographyen_US
dc.subjectReliabilityen_US
dc.subjectMigraineen_US
dc.subjectRegistryen_US
dc.subjectSmokingen_US
dc.titleIschemic Stroke in Young Adults Risk Factors, Subtypes, and Prognosisen_US
dc.typeArticleen_US

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