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Acta Neurol Scand. 2000 Jan;101(1):19-24.

Ischemic stroke in Korean young adults.

Author information

1
Department of Neurology, University of Ulsan, Asan Medical Center, Seoul, Korea.

Abstract

OBJECTIVES:

To evaluate the characteristics of ischemic stroke in Korean young adults.

MATERIAL AND METHODS:

We prospectively studied 149 consecutive patients with acute ischemic stroke aged between 15 to 44 years who were admitted to Asan Medical Center. All patients underwent brain CT/MRI and the majority of them underwent cerebral anglogram, echocardiography and laboratory studies for coagulopathy and vasculitis. Stroke subtypes were classified according to TOAST criteria.

RESULTS:

In our study, men (75.2%) significantly outnumbered women. Stroke subtypes were: large artery atherosclerosis 20.8%), small artery occlusive disease 17.4%), cardioembolism 18.1%, undetermined causes 16.8%, and other determined etiologies 26.8%. The prevalence of hypertension, cigarette smoking and habitual alcohol consumption was significantly higher in men than in women.

CONCLUSIONS:

Compared to the western studies, the deviation of sex ratio and the relative proportion of large artery atherosclerosis/small artery occlusion was higher. Heavy exposure to risk factors such as hypertension and cigarette smoking in Korean young men may explain these differences.

PMID:
10660147
[Indexed for MEDLINE]

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