Portal de Periódicos da CAPES

Stroke in Young Adults

1967; American College of Physicians; Volume: 66; Issue: 5 Linguagem: Inglês

10.7326/0003-4819-66-5-932

1539-3704

Sydney Louis,

Cardiovascular Health and Disease Prevention

Article1 May 1967Stroke in Young AdultsSYDNEY LOUIS, M.D., FLETCHER MCDOWELL, M.D.SYDNEY LOUIS, M.D., FLETCHER MCDOWELL, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-5-932 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIdentification of a stroke-prone individual before cerebral infarction is of great importance in solving the problem of prophylaxis of atherosclerotic cerebrovascular disease. The lesion underlying most cerebrovascular disease is atherosclerosis, which involves nearly all of the population before old age (1, 2). The rate of development of atherosclerosis is highly variable. The identification of the individual who is developing significant atherosclerosis and who is liable to have a cerebral infarction would enable a more sensible use of present suggestions for therapy, nearly all of which are prophylactic. To begin to define stroke proneness, we have reviewed our records and have...References1. MOOSSY J: Development of cerebral atherosclerosis in various age groups. Neurology (Minneap.) 9: 569, 1959. CrossrefMedlineGoogle Scholar2. BAKERIANNONE ABA: Cerebrovascular disease. I. The large arteries of the circle of Willis. Ibid., p. 321. Google Scholar3. A classification and outline of cerebrovascular disease. Report of the Ad Hoc Committee of the Advisory Council of the National Institute of Neurological Diseases and Blindness. Neurology (Minneap.) 8: 395, 1958. Google Scholar4. CONN JW: The prediabetic state in man, definition, interpretation and implications. Diabetes 7: 347, 1958. CrossrefMedlineGoogle Scholar5. ABELLLEVYBRODIEKENDALL LLBBBFE: Simplified method for estimation of total cholesterol in serum and demonstration of its specificity. J. Biol. Chem. 195: 357, 1952. CrossrefMedlineGoogle Scholar6. CARLSON LA: Determination of serum glycerides. Acta Soc. Med. Upsal. 64: 208, 1959. MedlineGoogle Scholar7. PICKERING G: Hyperpiesis: high blood pressure without evident cause: essential hypertension. Brit. Med. J. 2: 1021, 1965. CrossrefMedlineGoogle Scholar8. MARSHALL J: A trial of long-term hypotensive therapy in cerebrovascular disease. Lancet 1: 10, 1964. CrossrefMedlineGoogle Scholar9. HAMILTONTHOMPSONWISNIEWSKI MEMTK: The role of blood pressure control in preventing complications of hypertension. Ibid., p. 235. Google Scholar10. BAKERRESCH ABJA: Hypertension in relationship to cerebroatherosclerosis. Minnesota Med. 47: 1202, 1964. MedlineGoogle Scholar11. HEPTINSTALLPORTER RHKA: The effect of a brief period of high blood pressure or cholesterol-induced atheroma in rabbits. Brit. J. Exp. Path. 38: 55, 1957. MedlineGoogle Scholar12. MossKIELYNEVILLEBOURQUEWAKERLIN WGJPJBJEGE: Effects of experimental renal hypertension on experimental cholesterol atherosclerosis. Fed. Proc. 10: 94, 1951. Google Scholar13. MEYERWALTZHESSZAK JSAGJWB: Serum lipid and cholesterol levels in cerebrovascular disease. Arch. Neurol. (Chicago) 1: 303: 1959. CrossrefGoogle Scholar14. RENOLDCAHILL AEGF: Diabetes mellitus, in The Metabolic Basis of Inherited Disease, edited by STANBURY, J. B., WYNGAARDEN, J. B., FREDERICKSON, D. S. McGraw-Hill Book Co., Inc., New York, 1965, p. 70. Google Scholar15. CAMERINI-DÁVALOSCAULFIELDREESLOZANO-CASTANEDANALDJIANMARBLE RAJBSBOSA: Preliminary observations in subjects with prediabetes. Diabetes 12: 508, 1963. CrossrefMedlineGoogle Scholar16. STEINKESOELDNERCAMERINI-DÁVALOSRENOLD JJSRAAE: Studies on serum insulin-like activity (ILA) in prediabetes and early overt diabetes. Ibid., p. 502. Google Scholar17. VALLANCE-OWENASHTON JWL: Synalbumin insulin antagonism. Diabetes 13: 141, 1964. Google Scholar18. UNGER R: Modes of action of growth hormone. Fifth Congress of the International Diabetes Federation, Toronto, Canada, 1964, in On the Nature and Treatment of Diabetes, edited by LEIBEL, B. S., WRENSHALL, G. A. Excerpta Medica Foundation, Amsterdam, 1965. Google Scholar19. CAMERINI-DÁVALOS RA: Prevention of diabetes mellitus. Med. Clin. N. Amer. 49: 865, 1965. CrossrefMedlineGoogle Scholar20. HINESBARKER EANW: Arteriosclerosis obliterans: a clinical and pathologic study. Amer. J. Med. Sci. 200: 717, 1940. CrossrefGoogle Scholar21. BARTELSRULLO CCFR: Unsuspected diabetes mellitus in peripheral vascular disease. New Eng. J. Med. 259: 633, 1958. CrossrefMedlineGoogle Scholar22. GOLDBERGERALESIOWOLL EJF: The significance of hyperglycemia in myocardial infarction. New York J. Med. 45: 391, 1945. Google Scholar23. WADDELLFIELD WRRA: Carbohydrate metabolism in atherosclerosis. Metabolism 9: 800, 1960. Google Scholar24. SOWTON E: Cardiac infarction and the glucose-tolerance test. Brit. Med. J. 1: 84, 1962. CrossrefMedlineGoogle Scholar25. KEENROSEPYKEBOYNSCHLOUVERAKISMISTRY HGDADCS: Blood-sugar and arterial disease. Lancet 2: 505, 1965. CrossrefMedlineGoogle Scholar26. ROOTSHARKEY HFTP: Arteriosclerosis and hypertension in diabetes. Ann. Intern. Med. 9: 873, 1936. LinkGoogle Scholar27. GURDJIANHARDYLINDNERTHOMAS ESWGDWLM: Closed cervical cranial trauma associated with involvement of carotid and vertebral arteries. J. Neurosurg. 20: 418, 1963. CrossrefMedlineGoogle Scholar28. HUMPHREYNEWTON JGTH: Internal carotid artery occlusion in young adults. Brain 83: 565, 1960. CrossrefMedlineGoogle Scholar29. HOCKADAY TD: Traumatic thrombosis of the internal carotid artery. J. Neurol. Neurosurg. Psychiat. 22: 229, 1959. CrossrefMedlineGoogle Scholar30. SCHNEIDERLEMMEN RCLJ: Traumatic internal carotid artery thrombosis secondary to non-penetrating injuries to the neck. J. Neurosurg. 9: 495, 1952. CrossrefMedlineGoogle Scholar31. FRANTZENJACOBSENTHERKELSEN EHHJ: Cerebral artery occlusions in children due to trauma to the head and neck. A report of 6 cases verified by cerebral angiography. Neurology (Minneap.) 11: 695, 1961. CrossrefMedlineGoogle Scholar32. CLARKEDICKSONSMITH PRJBJ: Traumatic thrombosis of the internal carotid artery following a non-penetrating injury and leading to infarction of the brain. Brit. J. Surg. 43: 215, 1955. CrossrefMedlineGoogle Scholar33. OJEMANNMOSER RGHW: Acute bilateral internal carotid artery occlusion; report of a case following a parachute jump. Neurology (Minneap.) 14: 565, 1964. CrossrefMedlineGoogle Scholar34. DUMANSTEPHENS SJW: Post-traumatic middle cerebral artery occlusion. Neurology (Minneap.) 13: 613, 1963. CrossrefGoogle Scholar35. BICKERSTAFF ER: Aetiology of acute hemiplegia in childhood. Brit. Med. J. 2: 82, 1964. CrossrefMedlineGoogle Scholar36. WATSON AJ: Dissecting aneurysms of arteries other than the aorta. J. Path. Bact. 72: 439, 1956. CrossrefGoogle Scholar37. WOLMAN L: Cerebral dissecting aneurysms. Brain 82: 276, 1959. CrossrefMedlineGoogle Scholar38. WISOFFROTHBALLER HSAB: Cerebral arterial thrombosis in children. Review of literature and addition of two cases in apparently healthy children. Arch. Neurol. (Chicago) 4: 258, 1961. CrossrefMedlineGoogle Scholar39. SPUDISSCHARYJALEXANDERMARTIN EVMEJF: Dissecting aneurysm in the neck and head. Neurology (Minneap.) 12: 867, 1962. CrossrefMedlineGoogle Scholar40. BANKER BQ: Occlusive vascular disease affecting the central nervous system in infancy and childhood. Trans. Amer. Neurol. Ass. 84: 38, 1959. MedlineGoogle Scholar41. CURRIERDEJONGBOLE RDRNGC: Pulseless disease: central nervous system manifestations. Neurology (Minneap.) 4: 818, 1954. CrossrefMedlineGoogle Scholar42. JUDGECURRIERGRACIEFIGLEY RDRDWAMM: Takayasu's arteritis and the aortic arch syndrome. Amer. J. Med. 32: 379, 1962. CrossrefMedlineGoogle Scholar43. RIEHL JL: The idiopathic arteritis of Takayasu. A re-evaluation of its anatomical distribution and neurological implications. Neurology (Minneap.) 13: 873, 1963. CrossrefMedlineGoogle Scholar44. O'CONNORMUSHER JFDM: Central nervous system involvement in systemic lupus erythematosus. A study of 150 cases. Arch. Neurol. (Chicago) 14: 157, 1966. CrossrefMedlineGoogle Scholar45. FORDSIEKERT RGRG: Central nervous system manifestations of periarteritis nodosa. Neurology (Minneap) 15: 114, 1965. CrossrefMedlineGoogle Scholar46. BERLINTUMARKINMARTIN LBHL: Cerebral thrombosis in young adults. New Eng. J. Med. 252: 162, 1955. CrossrefMedlineGoogle Scholar47. WELLSTIMBERGER CERJ: Cerebral thrombosis in patients under fifty years of age. Arch. Neurol. (Chicago) 4: 268, 1961. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: SYDNEY LOUIS, M.D.; FLETCHER MCDOWELL, M.D.Affiliations: New York, New YorkFrom the Second (Cornell) Neurology Service, Bellevue Hospital, Cornell University Medical College, New York, N. Y.This study was supported by grant NB 03346-05, National Institutes of Health, Bethesda, Md.Requests for reprints should be addressed to Sydney Louis, M.D., Second Neurology, Cornell Division, Bellevue Hospital, 1st Ave. and 26th St., New York, N.Y. 10016. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byÉtiologies des épilepsiesAtherosclerotic Cerebral Infarction in Young AdultsStroke in Children and Young AdultsOral contraceptives, pregnancy and the risk of cerebra1 thromboembolism: the influence of diabetes, hypertension, migraine and previous thrombotic diseaseEmergence of Recreational Drug Abuse as a Major Risk Factor for Stroke in Young AdultsDavid A. Kaku, MD, Daniel H. Lowenstein, MDLes accidents ischémiques cérébraux artériels de l'adulte jeune. Étiologies et pronosticIschemic stroke in young adults I. Analysis of the etiological subgroupsCerebral ischemia in children and young adultsFrequency of systemic hypertension in various cardiovascular diseasesStroke and migraine in the oxfordshire community stroke projectSelected Factors and Stroke in Young Adults, 15-40 Years of. AgeThe Production of BerylliumLangzeit-Prognose von Patienten mit juvenilem InsultOcclusive Cerebrovascular Disease in Young AdultsItalian multicenter study on reversible cerebral ischemic attacks: III--Influence of age and risk factors on cerebrovascular atherosclerosis.The cause and prognosis of strokes in people under 50 yearsCoagulation studies in children and young adults with cerebral ischemic episodesThrombotic stroke associated with elevated plasma factor VIIISpontaneous bilateral recanalization in bilateral internal carotid artery occlusion.Clinical features and risk factors in stroke in youngCerebral ischemia in young adultsAlcoholism and cerebrovascular thrombosis in the youngPathogenetic profile of TIA before 55Atherosclerotic occlusive disease of the vertebrobasilar system in young adults and its surgical considerationCerebral infarction in young adults.The hypertensive diseasesISCHAEMIC CEREBROVASCULAR DISEASE IN YOUNG ADULTS: 1. Smoking habits, use of oral contraceptives, relative weight, blood pressure and electrocardiographic findingsCerebrovascular diseaseNervensystemNervensystemAge: Its Significance in Nonembolic Cerebral InfarctionCerebrovascular Disease: Frequency and Population Selectivity in an Upper Midwestern CommunityCerebrovascular Disease of Young Adults in a Mississippi Teaching HospitalCEREBROVASCULAR DISEASE A REVIEW OF PRESENT UNDERSTANDINGCerebrovascular Diseases Associated with the Use of Oral Contraceptives A Review of the English-Language LiteratureALFONSE T. MASI, M.D., D.P.H., F.A.C.P., MARION DUGDALE, M.D.Cerebrovascul�re Insulte bei jungen Frauen �tiologische AnalyseNonatherosclerotic Causes of StrokeJONATHAN LEVINE, M.D., PHILLIP D. SWANSON, M.D.Cerebral Hemorrhage and ThrombosisRefrences 1 May 1967Volume 66, Issue 5Page: 932-938KeywordsAtherosclerosisCerebrovascular diseasesHypertensionInfarctionNeurologyPatientsProblem solvingProphylaxisStrokeYoung adults ePublished: 1 December 2008 Issue Published: 1 May 1967 PDF downloadLoading ...