Stroke in the young: clinical features

Evidence-based neurology checklist on stroke in the young: clinical features: Demographic features It usually occurs after the age of 44 years Males are more often affected by 1.7:1 Females are affected at a younger age: especially <30 years Silent infarcts occur in 13% of cases Multiple infarcts…

Demographic features

  • It usually occurs after the age of 44 years
  • Males are more often affected by 1.7:1
  • Females are affected at a younger age: especially <30 years
  • Silent infarcts occur in 13% of cases
  • Multiple infarcts occur in 23% of cases

Types

Trigger factors

Outcomes

Predictors of poor outcome

Predictor of recurrence

References

  1. Putaala J, Metso AJ, Metso TM, et al. Analysis of 1008 consecutive patients aged 15-49 with first-ever ischemic stroke: The Helsinki Young Stroke Registry. Stroke 2009; 40:1195-1203.
  2. Leys D, Bandu L, Henon H, et al. Clinical outcome in 287 consecutive young adults (15 to 45 years) with ischemic stroke. Neurology 2002; 59:26-33.
  3. Nedeltchev K, der Maur TA, Georgiades D, et al. Ischaemic stroke in young adults: predictors of outcome and recurrence. JNNP 2005; 76:191-195.
  4. Larrue V, Berhoune N, Massabuau P, et al. Etiologic investigation of ischemic stroke in young adults. Neurology 2011; 76:1983-1988.
  5. Ekker MS, Verhoeven JI, Rensink KML, et al. Trigger factors for stroke in young adults: a case-crossover study. Neurology 2023; 100:e49-e61.

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