scholarly journals Fatal large-vessel cerebrovascular infarct presenting with severe coronavirus disease 2019 in a 39-year-old patient: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Nicolas Koslover ◽  
Marc Hardwick ◽  
Alexander Grundmann ◽  
Tamara Levene
Keyword(s):  
Risk Factors ◽  
White Male ◽  
Young Patients ◽  
Respiratory Illness ◽  
Large Vessel ◽  
Undiagnosed Diabetes ◽  
Future Research ◽  
Case Presentation ◽  
Vessel Thrombosis ◽  
Stroke In Young

Abstract Background Emerging reports are describing stroke in young, otherwise healthy patients with coronavirus disease 2019, consistent with the theory that some of the most serious complications of coronavirus disease 2019 are due to a systemic coagulopathy. However, the relevance of both the severity of coronavirus disease 2019 illness and established vascular risk factors in these younger patients is unknown, as reports are inconsistent. Case presentation Here we describe a 39-year-old white male, who died after presenting simultaneously with a malignant large-vessel cerebrovascular infarct and a critical coronavirus disease 2019 respiratory illness. Doppler ultrasound revealed evidence of carotid plaque thrombosis. Blood tests revealed evidence of undiagnosed diabetes mellitus; however, the patient was otherwise healthy, fit, and active. Conclusions This unique case highlights a possible interaction between established risk factors and large-vessel thrombosis in young patients with coronavirus disease 2019, and informs future research into the benefits of anticoagulation in these patients.

CLINICAL PROFILE OF PATIENTS OF YOUNG STROKE.

2021 ◽  
pp. 68-70
Author(s):  
Nitin Hiraman Suryawanshi ◽  
Amit Aggarwal ◽  
Abhijit Kadam
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Young Patients ◽  
Behavioural Pattern ◽  
Long Term Outcomes ◽  
Short Term ◽  
Traditional Risk Factors ◽  
The Individual ◽  
Stroke In Young

A study of stroke in young patients has recently become a subject of interest. This is due to a lot of impact on the individual and society. Study of stroke in young patients can lead to therapeutical results affecting both short term and long-term outcomes. Our study is hospital based retrospective study for duration of 1 year. Thi Methods: Results: s study revealed stroke in young in 25.16% of all stroke cases, with cerebral infarction in 56% and followed by intracerebral haemorrhage in 25.64%, and cerebral venous thrombosis in 18%. The most common presenting symptom was hemiparesis. The most prevalent risk factor for stroke in young was hypertension followed by diabetes mellitus, alcohol consumption and smoking. Stroke in young requires a differe Conclusion: nt approach to investigate and treat. This is due to different underlying etilogy as compared to elderly. Although traditional risk factors are associated with stroke, behavioural pattern such as smoking and alcohol may cause and promote development of stroke in young.

scholarly journals Predisposing Factors Promoting COVID-19 Infection and Mortality

2021 ◽  
pp. 43-48
Author(s):  
Azike, Chidimma Anthonia ◽  
Jeremiah Owubokiri Ngowari ◽  
Orudukobipi Tamunonengiye-Ofori
Keyword(s):  
Risk Factors ◽  
Chronic Disease ◽  
Low Income ◽  
Negative Impact ◽  
Healthcare Delivery ◽  
Respiratory Illness ◽  
Vulnerable Groups ◽  
Future Research ◽  
Movement Restriction ◽  
Quality Health Care

The pandemic of COVID-19 infection has had an untold adverse impact on patients living with chronic disease, across various ethnicity/race, age and gender. Underlying hypertension, cardiovascular disease, diabetes and respiratory illness are key risk factors for the development of severe COVID-19 pneumonia and systematic inflammation. Patients who are immunosuppressed by virtue of their chronic disease, age or a therapy have been identified as susceptible groups. The redirection of healthcare services towards the increasing numbers of COVID-19 patients has compromised the healthcare delivery to patients with chronic illness. Movement restriction measures as approach to curb the spread of the infection have also compromised the metabolic health of many patients who need enhanced physical activity to improve their health. Media publications on COVID-19 infection and restrictions may have also contributed to the poor mental health of some individuals, especially patients with underlying mental conditions or its risk factors. The inadequate or availability of quality health care system across low income and developing regions especially, those with older age groups, has further accelerated the spread and death rate from COVID-19. Future research should be directed towards protecting vulnerable groups from possible waves of COVID-19 as a measure to reduce the negative impact of the pandemic on these individuals.

Risk factors and prognosis of ischemic stroke in young patients in Uzbekistan

2011 ◽  
Vol 5 ◽  
pp. 16-22
Author(s):  
Dilshod Sagatov ◽  
Khurshidakhon Rasulova ◽  
Yakutkhon Madjidova
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Young Patients ◽  
Stroke In Young

scholarly journals P.090 Risk factors and etiology of stroke in young adults: a 6-years retrospective hospital-based study, OMAN

2018 ◽  
Vol 45 (s2) ◽  
pp. S40-S40
Author(s):  
AM Al Hashmi ◽  
S Jose ◽  
S Al Mawali
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Chart Review ◽  
Young Patients ◽  
Life Time ◽  
Royal Hospital ◽  
Stroke In Young Adults ◽  
Single Center Study ◽  
Stroke In The Young ◽  
Stroke In Young

Background: Stroke in the young is particularly tragic because of its potential for life time disability. Although a large number of studies have been published Worldwide. Very few have looked at etiologies in the youth of the Middle East,and none have focused on Oman. Methods: Retrospective,single center study,carried out at the Royal Hospital in Muscat. Chart review identifying all patients under 50 years of age admitted for acute stroke from 2009-2014. We analyzed the detailed history,examination and brain imaging (CT or MRI) for each case. We identified 588 young patients,163 of these were excluded due to other diagnosis or absence of neuroimaging (CT or MRI). Results: Out of the 425 stroke cases,67.3% were men. IS occurred in 69.6% compared to 30.4% for HS. Hypertension was the number one risk factor for both IS and HS,with a prevalence 50.7% and 60.5% respectively. DM was the second leading risk factor,with a prevalence of 32.1% in IS and 27.1% in HS. Underlying etiologies were identified in only 35.5% of cases in IS and 29.5% in HS.Cardiac etiology and vasculopathy were commonest for IS. Aneurysm was the main underlying etiology for HS. Conclusions: IS was more frequent than HS.Hypertension and DM were the leading risk factors for both stroke subtypes. Cardioembolism and vasculopathy were the main etiologies for IS.Cerebral aneurysm for HS.

scholarly journals The Factors that Affect Stroke at Young Age in Brawijaya Hospital Surabaya

2016 ◽  
Vol 4 (1) ◽  
pp. 62
Author(s):  
Siti Alchuriyah ◽  
Chatarina Umbul Wahjuni
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Age At Onset ◽  
Control Sample ◽  
Young Patients ◽  
Young Age ◽  
Stroke Patients ◽  
Cholesterol Levels ◽  
Number Of Patients ◽  
Stroke In Young

ABSTRACTStroke non-communicable diseases (NCD) with the number of patients continues to increase from year to year, and occurs in young and old age. This study aimed to determine the risk factors that affect the incidence of stroke in young patients in Brawijaya Hospital Surabaya. This study was conducted using case control design with retrospective approach. Data were taken as secondary data from medical records of 2012-2013. Variables included age at onset of stroke, gender, hypertension, obesity, cholesterol levels, and diabetes mellitus. Samples were the whole young stroke patients of <50 years and control sample were of stroke patients ≥50 years of age. Total number of samples was 60. Comparison of cases with controls was 1: 3. Sampling technique control cases was simple random sampling. Analysis was performed using chi- Square test (α = 0.05) for univariate and bivariate. Multivariate analysis was done using logistic regression fold. Most of the samples of ≥ 50 years old were 75%, male 55%, hypertensive 85%, non obesity 53.3%, increased cholesterol levels 58.3%, and DM 53.3%. There were five variables as risk factors, but four factors did not affect the incidence of stroke in young age: sex p = 0,881, hypertension p = 0.987, cholesterol p = 0,403, diabetes mellitus p = 0.236. As the affecting risk factors, obesity p = 0,015, and in multivariate variables obesity p = 0.009 (α < 0.05). In conclusion, obesitas related with risk factors for early age stroke.Keywords: risk factor, stroke, obesity

scholarly journals Analysis of Risk Factors Associated with Stroke in Young Adults: A Prospective Study

1970 ◽  
Vol 18 (2) ◽  
pp. 95-99 ◽  
Author(s):  
MZ Hossain ◽  
SU Ahmed ◽  
MH Sarder ◽  
R Dasgupta ◽  
A Das ◽  
...  
Keyword(s):  
Risk Factors ◽  
Young Adults ◽  
Heart Disease ◽  
Ischemic Stroke ◽  
Cerebral Infarction ◽  
Young Patients ◽  
Premature Atherosclerosis ◽  
Stroke In Young Adults ◽  
Common Risk Factors ◽  
Stroke In Young

Objective: Stroke in young patients is not common. The purpose of this study was to find out the risk factors of stroke in young adults in Bangladesh and to compare with different other studies. Methods: 85 young adult cases of stroke patients with the age ranging from 14 to 45 years, admitted in different medical units of Dhaka Medical College Hospital from January 2008 to July 2009, were studied. The risk factors for stroke and the distribution of stroke types were analyzed. Results: The specific age group (14-45 years old) included 6% of patients of all ages admitted for stroke. Among 85 patients, cerebral infarction was diagnosed in 52 patients (61%). Intracerebral hemorrhage (without trauma) was diagnosed in 25 patients (29.4%). Subarachnoid hemorrhage was found in 7 young patients (8.24%). The most common risk factors for ischemic stroke were hypertension (57.68%), hypercholesterolemia (38.46%), diabetes (34.61%), smoking (32.69%), premature atherosclerosis (11.54%). Regarding aetiology of cerebral infarction, the majority due to cardiogenic emboli (75%). The use of oral contraceptives, pregnancy, SLE, migraine and moya moya disease were infrequent causes of cerebral infarction. In ischemic stroke, the ratio of cardiogenic emboli & other factors were 3:1. The most common risk factors for hemorrhagic stroke were hypertension (63.63%), hypercholesterolemia (39.39%), diabetes (36.54%) & smoking (33.33%). Conclusion: Hypertension, Diabetes, tobacco smoking, premature atherosclerosis & rheumatic valvular heart disease are growing problems in the developing countries. According to our finding, identification & treatment of hypertension, dyslipidaemia, diabetes & rheumatic valvular heart disease & cessation of smoking are proper measures to prevent morbidity & mortality. Key words: Risk factors; stroke; young adult. DOI: 10.3329/jdmc.v18i2.6265 J Dhaka Med Coll. 2009; 18(2) : 95-99

scholarly journals A Four-Year Observational Study regarding the Characteristics and Causes of the Ischemic Stroke in Young Adults: one center study report

2020 ◽  
pp. 491-493
Author(s):  
Cătălin Cosmin MUTU ◽  
Marius-Ionuț GHINCEA ◽  
Corina SUCIU ◽  
Vlad SUCIU
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Young Patients ◽  
Carotid Artery Dissection ◽  
Vascular Risk Factors ◽  
Artery Dissection ◽  
Vascular Risk ◽  
Stroke Subtype ◽  
Toast Classification ◽  
Stroke In Young

Introduction. Stroke is the second cause of mortality worldwide, after the ischemic coronary disease, and the first cause of long term-disability. Recent studies report that ischemic stroke (IS) in young patients is increasing in incidence, even though the overall stroke hospitalization rate is decreasing. Stroke in the young, working individuals significantly affects the quality of life (QoL) and also determines an important, negative economic impact by reducing the workforce. Material and method. The aim of this paper is to present the results of a 4-year observational, retrospective study on all patients between 18-49 years, who suffered from acute IS and were admitted and investigated in the Neurology Clinic of Sibiu and the CVASIC Research Center. Clinical evaluations, imaging investigations, and risk factor evaluations were performed on all patients in order to elucidate the etiology and organize according to the TOAST classification. Results and discussions. 114 patients with ischemic stroke were included in the study. 76% of the subjects fall into the 40-49 age class. In respect to the TOAST classification, most cases of IS were of UE (rural<urban), while the fewest cases of IS were represented by SAA in both populations. The most frequent vascular risk factors were hypertension, dyslipidemia, smoking and thrombophilia. Confirmed cervical arteries dissection caused 2/3 of the severe carotid stenosis and 45,5% of the carotid occlusions. Conclusions. Hypertension, dyslipidemia and smoking are the main risk factors for stroke in young patients. The most common TOAST stroke subtype was stroke of undetermined etiology, followed by stroke of other determined etiology (carotid artery dissection and thrombophilia). Keywords: ischemic stroke, young patients, vascular risk factors, TOAST classification, disability,

scholarly journals Association of Dyslipidaemia in Young Patients with Recent Ischaemic Stroke

2015 ◽  
Vol 31 (2) ◽  
pp. 56-64
Author(s):  
Mostafa Hosen ◽  
Md Rafiqul Islam ◽  
Abu Nasir Rizvi ◽  
Moniruzamman Bhuyian
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Young Adult ◽  
Family History ◽  
Serum Lipids ◽  
Smoking Habit ◽  
Young Patients ◽  
Vascular Risk ◽  
History Of ◽  
Stroke In Young

Background: The relation between serum lipids and ischemic stroke remains controversial in young patients. The aim was to determine the serum lipid profile and the vascular risk factors for ischaemic stroke in a series of patients under 45 with an ischemic stroke and to compare them with a series of controls of the same age. Material and method: This case-control study was conducted in the Department of Neurology and Department of Biochemistry of BSMMU, Dhaka, between the period of July 2007 and June 2009 for duration of two years. A total number of 50 patients presented with recent ischemic stroke and 50 control person were enrolled in this study. All patients of both sexes, aged between 15 to 45 years presented with ischemic stroke, from 0 day to 1 month that was confirmed by CT scan of head/MRI of brain. Vascular risk factors were recorded and blood sample was collected from the cases and the controls and analyzed at the Dept. of Biochemistry, BSMMU for estimation of serum fasting lipid profile. Result: Multivariate analyses showed that other than serum lipids- family history of dyslipidaemia, family history of stroke or TIA, history of HTN and smoking habit are found significant risks for stroke in young adult. Conclusion: The present study does not confirm the role of serum lipids as risk factors for ischemic stroke in young adult. Other than serum lipids- family history of dyslipidaemia, family history of stroke or TIA, history of HTN and smoking habit are found significant risks for stroke in young adult. Bangladesh Journal of Neuroscience 2015; Vol. 31 (2): 56-64

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