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Aetiological diagnosis of ischaemic stroke in young adults
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Orientador(es)
Resumo(s)
Despite improvements in diagnosis and treatment, ischaemic stroke in young adults remains a catastrophic event
from the patients’ perspective. Stroke can cause death, disability, and hamper quality of life. For the neurologist
treating a young adult with suspected ischaemic stroke, the diagnostic challenge is to identify its cause.
Contemporary neuroimaging of the brain and its vessels, and a comprehensive cardiac assessment, will enable
identifi cation of the most frequent causes of stroke in this age group: cardioembolism and arterial dissection.
Specifi c diagnostic tests for the many other rare causes of ischaemic stroke in young adults (angiography, CSF
examination, screening for vasculitis and thrombophilia, genetic testing, and ophthalmological examination)
should be guided by suspected clinical fi ndings or by the high prevalence of diseases associated with stroke in
some countries.
Descrição
Palavras-chave
Ischaemic stroke Aetiological diagnosis Young adults Brain
Contexto Educativo
Citação
Lancet Neurol 2010; 9: 1085–96