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STROKE IN YOUNG PEOPLE: “THE INCREASING ROLE OF ADVANCED IMAGES”. ROSARIO ARGENTINA. Dr. Ojeda Adriana; Nallino, Ma. Belén; Uriarte,Ana Maria; Santa Cruz, Daniela. INTRODUCTION. STROKE is a leading cause of death and disability in developed countries.
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“THE INCREASING ROLE OF ADVANCED IMAGES”
Dr. Ojeda Adriana; Nallino, Ma. Belén; Uriarte,Ana Maria; Santa Cruz, Daniela.
STROKE is a leading cause of death and disability in developed countries.
Ischemic stroke in young adults ( 15-45 ys) is an unexpected event .
Etiological spectrum is varied and differs significantly from the underlying causes in older patients.
To highlight the increasing role of neuroimaging in the diagnosis, prognosis and treatment in young stroke patients.
The most frequent causes of ischemic stroke are considered and the corresponding images are described.
Healthy 40 year-old. female patient referring acute headache, neck pain, dizziness and vomits
LEFT VERTEBRAL DISSECTION
45 year-old male patient with severe trauma history due to a car accident 15 days before showing sudden onset aphasy
24 year-old female patient with language and speech disorder (aphasia)
30 year-old male patient with drop attack, vomits and stupor during a migraine episode.
45 year old female patient with right hemiparesis and aphasia. Unenhanced CT normal
The etiologic spectrum is quite broad, thus the investigation represents a challenging diagnosis.
Atherosclerotic arteriopathy was a rare cause of stroke.
Artery dissection was the most frequent cause identified in our series, as has already been reported in the medical literature.
Underterminaded cause represented a minor percentage compared to other studies.
In our study the sample is relatively small and show selection bias.
Our results emphasize the importance of a standardized protocol and a comprehensive evaluation of stroke in young patients.
To carry out multicentrical randomized studies to assay the stroke incidence in Argentinean young people.