Volume : X, Issue : V, May - 2020

Study on Etiopathogenesis Clinical presentation and Outcome in 100 Young Stroke patients

Senthur Rajapandian S

Abstract :

Introduction: stroke in the young is one of leading cause of death and disability worldwide that requires recognition and aggressive treatment to prevent long term morbidity and mortality. Methods: This was an observational study of 100 cases of completed stroke patients in the age group less than 45 years with regard to etiopathogenic risk factors, clinical presentation and their outcome in further follow up This study was conducted among 100 Young stroke patients who were admitted in government Rajaji hospital, Madurai from March 2013 to Feuary 2014. Results: Young stroke is common in the age group 35–45 years. Males are affected more than females in young stroke. Ischemic stroke is more common than hemorrhagic stroke. Thrombotic stroke was more common than embolic stroke. Among ischemic strokes anterior circulation strokes more common than posterior circulation strokes. Motor weakness is the common presentation of young stroke followed by unsteadiness, unconsciousness and speech disturbances. Right sided weakness more common than left sided weakness. Hemiparesis was more common than hemiplegia. Motor aphasia most common type of aphasia in our study. Smoking and alcohol are the most common risk factor for ischemic stroke followed by dyslipidemia, diabetes mellitus and hypertension. Atrial fiillation is the most common risk factor for embolic stroke. Rheumatic heart disease is the most common cardiac disease causing embolic stroke. Hypertension is the single most important factor for hemorrhagic stroke. Vasculitis, hypercoagulable states, homocystinemia, APLA are rare risk factors for young stroke. Death were seen in 12 % of patients. Conclusion: young stroke carries modifiable and non modifiable risk factors, recognizing pattern of clinical manifestations and outcome with long term follow up is necessary to reduce morbidity and mortality.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

STUDY ON ETIOPATHOGENESIS CLINICAL PRESENTATION AND OUTCOME IN 100 YOUNG STROKE PATIENTS, Senthur Rajapandian S INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-5 | May-2020

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