Young ischemic stroke in Tunisia: a multicentric study
Autor: | Asma Kefi, M'Rad S, Amira El Ouni, Saloua Hamzaoui, Neil Bougacha, Kamel Bouslama, Thara Larbi, Meya Abdallah |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Tunisia Adolescent Brain Ischemia Brain ischemia Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Diabetes mellitus Diabetes Mellitus medicine Humans 030212 general & internal medicine Young adult Stroke Retrospective Studies Anamnesis business.industry General Neuroscience Smoking Age Factors Retrospective cohort study General Medicine Middle Aged medicine.disease Hypertension Ischemic stroke Etiology Female business 030217 neurology & neurosurgery |
Zdroj: | International Journal of Neuroscience. 127:314-319 |
ISSN: | 1543-5245 0020-7454 |
Popis: | There is wanting data regarding young ischemic stroke in developing countries, especially in Tunisia. The purpose of this study was to investigate risk factors and etiologies of young ischemic stroke in Tunisian and make a comparison with previous reports.A total of 102 young ischemic stroke patients (15-45 years old) were admitted, between January 1996 and August 2007, to 11 departments of internal medicine in different Tunisian hospitals. The risk factors for stroke were documented and assessed. Diagnosis workup consisted of anamnesis, complete physical examination and extensive laboratory, radiologic, immunologic, neurologic and cardiologic examination. Stroke etiologies were classified according the Trial of ORG 10172 in acute stroke treatment.There were 42 men (41.2%) and 60 women (58.89%) with a mean age at onset of 35.7 years. As regards stroke subtype, large-artery atherosclerosis was diagnosed in 6.9% of cases, cardioembolism in 11.8%, small-vessel occlusion in 8.8%, other determined etiology in 37.3% and undetermined etiology in 35.3%. Concerning the traditional risk factors, smoking (31.4%), hypertension and diabetes mellitus (12.7% for each one) and a family history of stroke (10.8%) were the most common. The mean follow-up period was 30.5 months.In our study, traditional risk factors were not-so-uncommon in young adults with ischemic stroke suggesting that prevention can go through controlling these factors. Stroke of other determined etiology was the most common among our patients, so that a broad and detailed diagnostic workup is crucial to puzzle out the etiology for more and better stroke prevention. |
Databáze: | OpenAIRE |
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