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Stroke in Young Adults
- SYDNEY LOUIS, M.D.; and
- FLETCHER MCDOWELL, M.D.
- Requests for reprints should be addressed to Sydney Louis, M.D., Second Neurology, Cornell Division, Bellevue Hospital, 1st Ave. and 26th St., New York, N.Y. 10016.
Excerpt
Identification of a stroke-prone individual before cerebral infarction is of great importance in solving the problem of prophylaxis of atherosclerotic cerebrovascular disease. The lesion underlying most cerebrovascular disease is atherosclerosis, which involves nearly all of the population before old age (1, 2). The rate of development of atherosclerosis is highly variable. The identification of the individual who is developing significant atherosclerosis and who is liable to have a cerebral infarction would enable a more sensible use of present suggestions for therapy, nearly all of which are prophylactic. To begin to define stroke proneness, we have reviewed our records and have
This 100-word excerpt has been provided in the absence of an abstract.
Summario in Interlingua
Le characteristicas del subjecto con "diathese pro accidente cerebrovascular" esseva studiate in un gruppo de juvene adultos qui habeva suffrite nonembolic infarcimento cerebral. Esseva speculate que le factores contribuente al etiologia e etiam le morbos associate esserea plus facilemente recognoscibile in patientes con le experientia de accidente cerebro-vascular a inusualmente basse etates. Cinquanta-sex patientes esseva studiate qui habeva experientiate accidentes cerebro-vascular a etates de 50 annos o minus, e illes esseva tenite sub observation durante periodos de al media 27 menses.
Le incidentia in masculos e in femininas esseva identic usque al etate de 45 annos. Postea, le masculos predominava. Hypotension al tempore del accidente cerebro-vascular esseva notate in non plus que 4 casos. Hypertension esseva presente in plus que un medietate. Diabete esseva presente in 22 pro cento. A parte isto, 20 pro cento del patientes deveniva diabetic intra tres annos post le accidente cerebrovascular. Anormalitates del lipidos seral esseva trovate in un medietate del casos testate. In 4 patientes, specific lesiones arterial—tal como disseminate lupus erythematose ïsyphilis—esseva trovate. In solmente 4 patientes in le gruppo total de 56, nulle del supra-mentionate disordines associate esseva detegite.
Assi, diabete, prediabete, hypertension, o un anormal configuration lipidic del sanguine esseva trovate in 86 pro cento del patientes studiate e constitue, per consequente, un selection del characteristicas predisponente le subjecto individual a infarcimento cerebral.
Article and Author Information
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From the Second (Cornell) Neurology Service, Bellevue Hospital, Cornell University Medical College, New York, N. Y.
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This study was supported by grant NB 03346-05, National Institutes of Health, Bethesda, Md.
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- Received November 28, 1966.
- Accepted January 18, 1967.
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