Clinical and Aetiological Profile of Stroke in Young in North Eastern India
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 3
Abstract
Introduction: Stroke remains the second most common cause of death worldwide. Though stroke is more common in elderly a sizeable proportion of stroke do occur in young. The risk factors for stroke in young are diverse and need comprehensive approach to pinpoint the aetiology. This study was conducted on stroke in young in a tertiary care centre of North Eastern India to evaluate the clinical profile. Methods and Materials: The present study is hospital based prospective observational study. Inclusion criteria: Indoor patients with stroke between 15 to 45 years. Exclusion criteria: Patients with meningitis, head trauma, intracranial abscess and tumour. The Modified Rankin Scale was used for the grading of disability after stroke. Results: Out of 50 patients included in the series 54% and 46% were male and female respectively, the ratio being 1.17:1. Ischemic stroke was found in 56%, haemorrhagic stroke in 36% and subarachnoid haemorrhage in 8% of patients. Among the ischemic stroke 20% had cardio-embolic stroke. Mortality in the present series was 14%. On discharge, 4% had no disability and no patient had grade 5 disability, whereas 16%, 32%, 22% and 12% patients had grade-1, grade-2, grade-3 and grade-4 disability respectively. Conclusion: Stroke in young is an emerging problem with a male preponderance. Ischemic stroke is more common where rheumatic heart disease is an important causative factor whereas rupture of arterio venous malformation is an important cause in haemorrhagic stroke incidence of which is proportionately higher than that of elderly.
Authors and Affiliations
Md Jamil, Dwijen Das, Kallol Bhattacharjee, Giridhari Kar, Prithwiraj Bhattacharjee
Keywords
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