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Titolo:
CEREBRAL INFARCTION IN YOUNG-ADULTS - THE BALTIMORE-WASHINGTON COOPERATIVE YOUNG STROKE STUDY
Autore:
KITTNER SJ; STERN BJ; WOZNIAK M; BUCHHOLZ DW; EARLEY CJ; FEESER BR; JOHNSON CJ; MACKO RF; MCCARTER RJ; PRICE TR; SHERWIN R; SLOAN MA; WITYK RJ;
Indirizzi:
UNIV MARYLAND,DEPT NEUROL,BRESSLER BLDG,ROOM 12-013,655 W BALTIMORE ST BALTIMORE MD 21201 UNIV MARYLAND,DEPT EPIDEMIOL & PREVENT MED BALTIMORE MD 21201 JOHNS HOPKINS UNIV,DEPT NEUROL BALTIMORE MD 21218 EMORY UNIV,DEPT NEUROL ATLANTA GA 30322
Titolo Testata:
Neurology
fascicolo: 4, volume: 50, anno: 1998,
pagine: 890 - 894
SICI:
0028-3878(1998)50:4<890:CIIY-T>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
ISCHEMIC STROKE; EXPERIENCE; RISK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
S.J. Kittner et al., "CEREBRAL INFARCTION IN YOUNG-ADULTS - THE BALTIMORE-WASHINGTON COOPERATIVE YOUNG STROKE STUDY", Neurology, 50(4), 1998, pp. 890-894

Abstract

Background: Few reports on stroke in young adults have included casesfrom all community and referral hospitals in a defined geographic region. Methods: At 46 hospitals in Baltimore City, 5 central Maryland counties, and Washington, DC, the chart of every patient 15 to 44 years of age with a primary or secondary diagnosis of possible cerebral arterial infarction during 1988 and 1991 was abstracted. Probable and possible etiologies were assigned following written guidelines. Results: Of 428 first strokes, 212 (49.5%) were assigned at least one probable cause, 80 (18.7%) had no probable cause but at least one possible cause, and 136 (31.8%) had no identified probable or possible cause. Of the212 with at least one probable cause, the distribution of etiologies was cardiac embolism (31.1%), hematologic and other (19.8%), small vessel (lacunar) disease (19.8%), nonatherosclerotic vasculopathy (11.3%), illicit drug use (9.4%), oral contraceptive use (5.2%), large arteryatherosclerotic disease (3.8%), and migraine (1.4%). There were an additional 69 recurrent stroke patients. Conclusions: In this hospital-based registry within a region characterized by racial/ethnic diversity, cardiac embolism, hematologic and other causes, and lacunar stroke were the most common etiologies of cerebral infarction in young adults. Nearly a third of both first and recurrent strokes had no identified cause.

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Documento generato il 02/12/20 alle ore 17:09:46