Title: A Hospital Based Study of Stroke in Young from North East Andhra Pradesh
Authors: Dr S.Sreenivas, Dr Gadipudi Mounika, Dr Hyma Tati, Dr Marri Lakshmi Harika
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.110
Abstract
Background: Stroke in young has special significance in developing countries, this is so because some etiologies like cardio-embolic strokes and infections are more common than in developed countries and the affection of economically productive group adds further to the overall disease burden. The nature and etiology of stroke in young adults is different from that in older patients. So, it requires a different diagnostic and therapeutic approach.
Materials and Methods: This is a retrospective hospital-based study of stroke in young conducted in the Department of General Medicine, King George Hospital, Visakhapatnam. The study period was 1 year from May 2019 to April 2020 with a sample size of 30. The patients who presented with stroke were admitted, clinically examined, routine investigations were done and CT brain was done. Factors studied were age and sex distribution, patient complaints, risk factors and probable etiology.
Results: In the present study, higher incidence was seen in the patients of age group 15-30 years. Slight male preponderance is seen. Alcohol is one of most attributable risk factors for stroke in young. Ischemic stroke was seen in majority of the patients followed by cerebral venous thrombosis. Most of the patients presented with altered sensorium followed by hemiparesis.
Conclusion: As the etiologies for stroke in young are different compared to much common stroke in older people, a different diagnostic approach is needed. Life style modifications and curtailing the risk factors can reduce the incidence of stroke in young.
Keywords: Stroke in young, Alcohol, Ischemic stroke, Hemorrhagic stroke.
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