Study on etiopathogenesis clinical presentation and outcome in 100 young stroke patients.

OBJECTIVES: To study 100 cases of completed stroke patients in the age group < 45 years with regard to 1. Etiopathogenic risk factors analysis, 2. Clinical presentation of young stroke 3. Their outcome in further follow up. DESIGN: Single Observational study. This study was conducted among 100 Young stroke patients who were admitted in our hospital with various etiologies since March 2013 to February 2014. RESULTS & CONCLUSION Stroke under 45 yrs is common in the age group between 35-45 years. Males are affected more than females in young stroke. Ischemic stroke more common than hemorrhagic stroke. Thrombotic stroke more common than embolic stroke in ischemic strokes Anterior circulation strokes more common than posterior circulation strokes. MCA more commonly involved than ACA and PCA. Motor weakness is the common presentation of young stroke followed by unsteadiness, unconsciousness and speech disturbances. Right sided weakness more common than left sided weakness. Hemiparesis more common than hemiplegia. Motor aphasia most common type of aphasia in our study. Smoking and Alcohol are the most common risk factor for ischemic stroke followed by Dyslipidemia, Diabetes mellitus and Hypertension. Atrial fibrillation is the most common risk factor for embolic stroke. Rheumatic heart disease is the most common cardiac disease causing embolic stroke. Hypertension is the single most important factor for hemorrhagic stroke. Vasculitis,Hypercoagulable states, Homocystinemia, APLA are rare risk factors for young stroke. Weakness and speech disturbances were improved significantly. Unsteadiness not improved significantly. Death were seen in 12 cases