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Occlusive Cerebrovascular Disease in Young Adults

Published online by Cambridge University Press:  18 September 2015

Gary M. Klein
Affiliation:
Dept. of Clinical Neurosciences, Faculty of Medicine, University of Calgary, Calgary, Alberta
T. Peter Seland*
Affiliation:
Dept. of Clinical Neurosciences, Faculty of Medicine, University of Calgary, Calgary, Alberta
*
Calgary General Hospital, 841 Centre Ave. East, Calgary, Alberta, Canada T2E 0A1
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Abstract:

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This retrospective study documents the experience of two large Canadian teaching hospitals with occlusive cerebrovascular disease in young adults. Chart review disclosed 76 patients aged 15-40 years during a recent six year period. An apparent cause, or significant coincident risk factors were found in 51 patients (67%). The most prevalent recognized causes were atherosclerosis, emboli from cardiac sources or intracranial aneurysms, and complicated migraine. Pregnancies or use of oral contraceptives were apparent coincident risk factors.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1984

References

Barnett, HJM.Boughner, DR., Taylor, DW., Cooper, PE., Kostuk, WJ., Bichol, PM. (1980) Further evidence relating mitral valve prolapse to cerebral ischemic events. N. Engl. J. Med. 302: 139144.Google Scholar
Bergeron, GA.Shah, PM. (1981) Echocardiography unwarranted in patients with cerebral ischemic events. N. Engl. J. Med. 304: 489.Google Scholar
Chopra, JS.Prabhakar, S. (1979) Clinical features and risk factors in stroke in young. Acta Neurol. Scand. 60: 289300.CrossRefGoogle ScholarPubMed
Collaborative Group For The Study Of Stroke In Young Women (1973) Oral contraception and increased risk of cerebral ischemia or thrombosis. N. Engl. J. Med. 288: 871878.CrossRefGoogle Scholar
Dalal, PM. (1979) Strokes in the young in West Central India. Adv. Neurol. 25: 339348.Google Scholar
Fisher, M.Davidson, RI., Marcus, EM. (1980) Transient focal cerebral ischemia as a presenting manifestation of unruptured cerebral aneurysms. Ann. Neurol. 8: 367372.CrossRefGoogle ScholarPubMed
Fogelholm, R.Aho, K. (1973) Ischemic cerebrovascular disease in young adults. Acta Neurol. Scand. 49: 415427.CrossRefGoogle ScholarPubMed
Grindal, AB.Cohen, RJ., Saul, RF., Taylor, JR. (1978) Cerebral infarction in young adults. Stroke. 9: 3942.CrossRefGoogle ScholarPubMed
Hart, RG.Miller, VT. (1983) Cerebral infarction in young adults: A practical approach. Stroke. 14: 110114.CrossRefGoogle ScholarPubMed
Hindfelt, B.Nilsson, O. (1977) Brain infarction in young adults. Acta Neurol. Scand. 55: 145157.CrossRefGoogle ScholarPubMed
Humphrey, JG.Newton, TH. (1960) Internal carotid artery occlusions in young adults. Brain 83: 565578.CrossRefGoogle ScholarPubMed
Knopman, DS.Anderson, DC., Asinger, RW., Greenland, P., Midell, F., Good, DC. (1983) Indications for echocardiography in patients with ischemic stroke. Neurology 32: 10051011.CrossRefGoogle Scholar
Kurtzke, FE. (1969) Epidemiology of cerebrovasculardisease. Springer-Verlag Inc., Berlin.Google Scholar
Louis, S.McDowell, F. (1967) Strokes in young adults. Ann. Int. Med. 66: 932938.CrossRefGoogle Scholar
Lovett, JL.Sandok, BA., Giuliani, ER., Nasser, FN. (1981) Two dimensional echocardiography in patients with focal cerebral ischemia. Ann. Intern. Med. 95: 14.CrossRefGoogle ScholarPubMed
Marshall, J. (1982) The cause and prognosis of strokes in people under 50 years. J. Neurol. Sci. 53: 473488.CrossRefGoogle Scholar
Mettinger, KL.Soderstrom, CE. (1978) Pathogenetic profile of T.I.A. before 55. J. Neurol. Sci. 36: 341348.CrossRefGoogle ScholarPubMed
Snyder, BD.Ramirez-Lassepas, M. (1980) Cerebral infarction in young adults. Stroke 11: 149153.Google Scholar
Stewart, RM.Samson, D., Diehl, J., Hinton, R., Ditmore, QM. (1980) Unruptured cerebral aneurysms presenting as recurrent transient neurologic deficits. Neurology 30: 4751.CrossRefGoogle ScholarPubMed
Warlow, C. (1979) The young stroke. BR. J. Hosp. Med. 22: 252259.Google Scholar
Wiebers, DO.Whisnant, JP., O’Fallon, WM. (1981) The natural history of unruptured intracranial aneurysms. N. Engl. J. Med. 304: 696–8.CrossRefGoogle ScholarPubMed