Akademik Veri Yönetim Sistemi
Turk Beyin Damar Hastaliklar Dergisi, cilt.10, sa.1, ss.57-60, 2004 (Scopus, TRDizin)
Purpose: The studies concerning stroke in young adults usually included the patients under the age of 45 years. The aim of this study was to compare the risk factors and subtypes of stroke between two different age groups among young adults aged <45 years. Material and Method: The files of 100 patients who were admitted with acute stroke or transient ischemic attacks (TIA) and aged 18 to 45 years were evaluated retrospectively. Patient data including stroke risk factors, clinical signs, and the results of laboratory and radiological examinations were recorded. The patients with ischemic stroke were divided into two subgroups; patients between the ages of 18-30 (Group I) and those aged over 30 years (Group II). Fisher's exact chi-square and Student t tests were used for statistical analysis. Results: There were 56 women and 44 men. Eleven patients had hemorrhagic and 89 patients had ischemic stroke or TIA. Fifteen of patients with ischemic stroke were 18-30 years of age, and 74 patients aged over 30 years. Smoking, alcoholism and ischemic stroke due to large artery atherosclerosis or small vessel occlusion were more common in men, while ischemic stroke due to uncommon causes was detected only in women (p<0.05). The proportion of ischemic stroke due to cardioembolism and uncommon causes was higher in Group I, whereas stroke due to atherosclerotic vasculopathy predominated in the 31-45 year old group (p<0.05). Conclusions: Our results showed that stroke causes in young adults aged over 30 years significantly differ from those in 18-30 year old patients. The 31-45 year old patients seem to have ischemic stroke due to large artery atherosclerosis and small vessel occlusion as common as the elderly.