Study Of Clinical Profile And Aetiology Among Patients Presenting With Stroke In The Younger Age Group

Abstract

Aim: To study the clinical profile and aetiology of stroke in patients in the younger age group.

Methods: The present cross-sectional observational study was conducted on 50 patients of an age range of 15–45 years with clinical and radiological diagnoses admitted to the Dr D.Y. Patil Medical College Hospital and Research Centre, Pimpri, Pune, during the period from October 2020–September 2022.

Results: In this study, it was found that the majority of patients, 23 (46%), were in the 36–45 age group. 38 (76%) of the subjects were male, and 12 (24%) of the subjects were female. Dyslipidaemia was the primary risk factor in 21 (42%) of the subjects, followed by others. A thrombotic stroke occurred in 33 (66%) of the subjects. Among the patients who suffered from a thrombotic stroke, the major aetiology was found to be atherosclerotic occlusive disease, seen in 10 (20%) subjects. It was observed that mitral stenosis with atrial fibrillation was seen in 7 (14%) subjects, stating that cardiological conditions are to be considered when dealing with stroke in the younger age group. A few of the subjects had haemorrhagic strokes.

Conclusion: Stroke in the younger age group is less common than in the older age group. A number of uncommon risk factors and aetiologies need to be taken into account more thoroughly when analysing the pathogenesis of stroke in younger persons. As with every stroke patient, a complete workup is required, including evaluations of the cardiovascular system, the vascular system of the head and neck, the brain, and the blood investigations.  The primary therapeutic option for lowering morbidity and mortality associated with stroke in young adults is prevention because modifiable risk factors were frequently seen in our study.