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- Title
Recurrence after first cerebral infarction in young adults.
- Authors
Camerlingo, M.; Casto, L.; Censori, B.; Ferraro, B.; Caverni, L.; Manara, O.; Finazzi, G.; Radice, E.; Drago, G.; De Tommasi, S. M.; Gotti, E.; Barbui, T.; Mamoli, A.
- Abstract
Objective – We have investigated recurrence of stroke in a consecutive series of young adults, aged 16 to 45 years, after a first cerebral infarction. Methods – From January 1, 1988 to December 31, 1996 we submitted those patients to a diagnostic protocol including angiographic, cardiological, and haematological investigations. The patients were followed at 6 month intervals up to December 31, 1998. Results – We have evaluated and followed‐up 135 patients, 71 men and 64 women, who were 3.99% of all the admitted stroke patients. At 12 months after stroke, 83 patients had returned to work, 40 patients were mildly to moderately handicapped, 4 were using a wheel‐chair, and 8 had died. Follow‐up was 26 to 123 months (mean 68.8). Recurrence of stroke, always of ischaemic nature, was seen in 15 patients (11.1%), 3 to 76 months after the first stroke (mean 27.4), for an annual incidence of 2.26%. Recurrence was significantly associated with Partial Anterior Circulation Syndrome and Haematological subtype of first stroke (respectively, P=0.0209 and P=0.0135, ξ2 test), but not with age (≤ or >35 years) or risk factors. Repetition of stroke was never fatal, but it caused heavy disability in 13 patients, 8 of whom had completely or nearly completely recovered after the first event. Conclusions – Our data suggest that recurrence of stroke is a major clinical problem also for the patients aged less than 45 years and that it might be more frequent with specific clinical syndromes and etiologic subtypes of first stroke.
- Subjects
CEREBROVASCULAR disease; CEREBRAL infarction; HEART disease relapse; AGE factors in disease
- Publication
Acta Neurologica Scandinavica, 2000, Vol 102, Issue 2, p87
- ISSN
0001-6314
- Publication type
Article
- DOI
10.1034/j.1600-0404.2000.102002087.x