Cerebral strokes at young age
Deev, A.S.; Zakharushkina, I.V.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 100(1): 14-17
2000
ISSN/ISBN: 1997-7298 PMID: 10666880 Document Number: 516180
791 patients aged 15-44 years with different forms of cerebral stroke that accounted for 9,4% from all the patients hospitalized because of stroke were treated. Ischemic stroke (IS) was diagnosed in 477 patients (60,3%), hemorrhagic stroke (HS) in 293 patients (37,3%), thromboses of the sinuses and veins of the brain in 19 patients (2,4%). IS to HS was 1,6:1; cerebral strokes were observed in men twice as frequently as in women. The main causes of HS (180 men, 115 women) were anomalies of cerebral vessels and arterial hypertension. Intracerebral and subarachnoidal hemorrhage occurred with the same frequency. 38% of the patients died. The main causes of IS in 477 patients (285 men, 192 women) were arterial hypertension, rheumatism and atherosclerosis of cerebral and precerebral arteries. Embolic stroke occurred 4,5 times more frequently in women, than in men. 6,7% of the patients died. Among the patients with disorders of venous cerebral circulation (13 women, 6 men) 2 women with thrombosis of upper longitidinal sinus died. According to authors' data pregnancy and delivery are a significant risk factor for development of all forms of cerebral stroke.