Document Detail


The cause and prognosis of strokes in people under 50 years.
MedLine Citation:
PMID:  7069444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A study of 192 personal cases of completed stroke, reversible ischaemic neurological deficit (RIND) or transient ischaemic attack (TIA) in patients aged 10-49 years seen between 1961 ad 1979 inclusive is reported. Three died acutely; 189 were followed for up to 15 years. The main cause of the initial event was atheromatous or hypertensive vascular disease. Of the 90 patients whose initial event was a completed stroke 19(21%) developed a second stroke, whereas only 4 of the 78 patients with TIA suffered a stroke later. In the entire series there were 6 cardiac deaths and one from mesenteric thrombosis during the follow-up period. The risk of stroke following TIA is less in persons under 50 years than in the older age group. The risk of a second stroke following an initial stroke depends on whether or not there is evidence of vascular disease. In the absence of such evidence the risk is small; in the presence of evidence it is high, being of the order of 20%.
Authors:
J Marshall
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  53     ISSN:  0022-510X     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  1982 Mar 
Date Detail:
Created Date:  1982-06-14     Completed Date:  1982-06-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  473-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anticoagulants / therapeutic use
Arrhythmias, Cardiac / complications
Blood Sedimentation
Brain / pathology
Brain Ischemia / etiology
Cerebral Hemorrhage / etiology
Cerebrovascular Disorders / etiology*,  pathology
Child
Endarterectomy
Female
Hematocrit
Humans
Hypertension / complications
Ischemic Attack, Transient / etiology
Lipids / blood
Male
Middle Aged
Myocardial Infarction / complications
Prognosis
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Lipids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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