Ishemijski moždani udar u mladih odraslih osoba: retrospektivna analiza

The aim of the study was to evaluate the profile of ischemic stroke in young adults. Sixty-two cases of ischemic stroke in Croatian subjects aged 26 to 49 years were reviewed. Fifty of these had large infarctions and 12 had lacunar infarctions. The causes of large cerebral infarction were as follows: atherosclerosis 37% of women and 35% of men; cardiac embolism 5% of women and 26% of men; and uncertain causes 31% of women and 23% of men. Among men, the most prominent risk factors were smoking and drinking, whereas among women the leading risk factors were hypertension and hypercholesterolemia. Color Doppler Flow Imaging (CDFI) was pathologic in 48% of female and 33% of male patients.Cilj istraživanja bio je utvrditi karakteristike ishemijskog moždanog udara u mlađih osoba. U istraživanje je uključeno 62 bolesnika u dobi između 26 i 49 godina sa ishemijskim moždanim udarom. Uzroci ishemijskog moždanog udara bili su slijedeći: ateroskleroza u 37% žena i 35% muškaraca; kardioembolija u 5% žena i 26% muškaraca, a nesigurni uzroci u 31% žena i 23% muškaraca. Pedeset bolesnika imalo je ishemiju u opskrbnom području jedne ili više krvnih žila mozga, dok je njih 12 imalo lakunarnu ishemiju. Među muškarcima, najčešći rizični faktori bili su pušenje i alkoholizam, dok je među ženama, vodeći rizični faktor bila hipertenzija i hiperkolesterolemija. Kolor dopler je u 48% ženskih bolesnica bio patološki, a među muškarcima u 33% slučajeva