MUSTAFA ÇETINER1, MUSTAFA ÇAM3, SIBEL CANBAZ KABAY1, HASAN EMRE AYDIN2, SELAHATTIN AYAS1, ÖZGE TEMEL1, YAŞAR ZORLU4
1Dumlupinar University Faculty of Medicine, Departments of Neurology and 2Neurosurgery - 3Denizli State Hospital, Department of Neurology - 4Izmir Tepecik Education and Research Hospital, Neurology Clinic-Turkey
Objective: Recent years, the incidence of stroke has increased in patients aged below 50 years. We aimed to determine the aeti- ological subtypes of stroke and distribution of the risk factors and share clinical outcomes of patients with ischaemic stroke aged below 50 years.
Material and methods: The data of patients aged 50 years or younger, who were hospitalized in the department of neurology at Dumlupınar University Faculty of Medicine with the diagnosis of ischaemic stroke and who were followed up in the outpatient stroke clinic, were retrospectively reviewed. Demographic characteristics of the patients and the risk factors for stroke were recorded (Hypertension, diabetes mellitus, heart diseases, hyperlipidaemia, smoking and alcohol consumption, oral contraceptive use and reg- ular medication and migraine). The patients were grouped according to the Trial of ORG 10172 in Acute Stroke Treatment classifica- tion. Patients were divided into two groups as below 45 years and 45 and older for statistical analysis
Results: Of the patients, 37 (50%) were male, and 37 (50%) were female, and the mean age was 41.14 ± 6.99 (17-49) years. In total patient population, 25 patients (33.8%) had cardioembolic stroke, 16 (21.6%) had stroke due to unknown causes, 14 (18.9%) had stroke due to other reasons, 12 (16.2%) had stroke due to atherosclerosis of large arteries and 7 (9.5%) had stroke due to lacu- nar infarction. Smoking (n = 37, 50%), cardiac diseases (n = 28, 38%), hyperlipidaemia (n = 24, 32.4%), obesity (n=18, 24.3%), hypertension (n=17, 23%) were the most common risk factors.
Conclusion: The present study found that the risk factors observed in young stroke patients, particularly in patients aged below 50 years, were not remarkably different than the widely recognized risk factors, and congenital and genetic causes were more common in patients aged below 45 years.
Ischaemic stroke in young patients, risk factors, causes of stroke, clinical outcomes