| 초기성인 뇌졸중의 임상적 고찰 |
| 이용희, 박성파,김광수,임정근,이동국,이상도,박영춘 |
| 계명대학교 신경과 |
| A Clinical Study on Young Adult Stroke |
| Yong Hee Lee, M.D., Sung Pa Park, M.D., Kwang Soo Kim, M.D.,
Jeong Geun Lim, M.D., Dong Kuek Lee, M.D., Sang Doe Yi, M.D.,
Young Choon Park, M.D. |
| Dep. Of Neurology, Keimyung University School Of Medicine University |
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| Abstract |
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The incidence, the risk factors and the prognosis were observed in 153 young adult strokes aging from 15 to 45 years for the past 5 years. The proportion of young adult stroke was 7.6% of all stroke. The most prevalent age group was ranging from 35 to 45 years with a mean 36.3 18.8years. Distribution of young adult strokes showed cerebral infarction 43 cases (28.1%), cerebral hemorrhage 57 cases (37.3%) and subarachnoid hemorrhage 53 cases (34.6%). The causes of cerebral infarction were presumed atherosclerosis (21 cases), cerebral embolism due to cardiac problem (11 cases), moyamoya disease (2 cases), vasculitis due to tuberculous meningitis (1 case), SLE(l case), pregnancy (1 case) and essential thrombocytosis (1 case), and 5 cases were unknown origin The risk factors of presumed atherosclerosis were hypertension, hyperlipidemia, diabetes mellitus, smoking, and increased hemoglobin Among 21 cases, 8 cases had one risk factor, 7 cases two risk factors, 5 cases three risk factors, and l case four risk factors. The causes of intracerebral hemorrhage were hypertension (23 cases), arteriovenous malformation (14 cases), moyamoya disease (5 cases), brain tumor (3 cases), coagulopathy (2 cases), and aneurysm (1 case) and 9 cases were unknown origin. Cerebral atrerial aneurysm was detected with cerebral angiogram in 42 among 43 SAH cases. Intracerebral hemorrhage occurred in basal ganglia (23 cases), lobe (22 cases), thalamus (5 cases), brainstem (3 cases), cerebellum (3 cases) and ventricle (1 case), and cerebral infarction occurred in middle cerebral artery territory (33 cases), vertebrobasilar artery territory (6 cases), ACAand PCA (2 cases,
respectively). Arterial aneurysm was detected in anterior communicating artery (22 cases), middle cerebral artery (8 cases) and posterior communicating artery (5 cases). The prognosis of young adult stroke was better than old age stroke (p<0.05). |
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