Ischaemic strokes of the young subject: etiological profiles of a serie of 160 cases

Abdellah Taous; Maha Ait Berri; Imane Traibi; Tarik Boulahri

Volume : IX, Issue : XII, December - 2019

Ischaemic strokes of the young subject: etiological profiles of a serie of 160 cases

Abdellah Taous, Maha Ait Berri, Imane Traibi, Tarik Boulahri

Abstract :

Ischemic Strokes (IS) of young adults between 15 and 45 years represent globally 10% of strokes at any age. We aim through this retrospective cohort to define the etiological profiles of IS at this particular population in a serie of cases diagnosed and followed up by the neurology team of the military hospital of Meknes over 16 years and to compare our results with those of the literature. The average age of the patients was 36 years with a sex ratio of 0,38 . The topographic distribution of IS did not differ from that of the elderly patients. An etiology was identified in 72 cases: 24 cases of cardiovascular origin, 20 cases of atherosclerosis, 16 cases of angiitis, 8 cases of hematological origin, 4 cases of lacune. The origin remained indeterminate in 88 (55%) patients. Exhaustive initial workup besides close follow up of young adults with IS permit to identify causes, which make it possible to predict the risk of recurrence and to adapt secondary prevention treatment.