Stroke, Vol 17, 662-666, Copyright © 1986 by American Heart Association
SE Johnson and H Skre
During an investigation of coronary risk factors, a population 20 to 54
years old in Tromso, Northern Norway was screened for transient ischemic
cerebral attacks. Three simple screening questions were used. Sixteen
thousand six hundred and twenty-one subjects participated in the study.
Among the responders, a sample of 501 were evaluated neurologically and 10
men and 16 women identified as TIA cases. Mean age for men was 41.3 years,
for women 33 years. Five women (mean age 24.4) had the events during
pregnancy, pointing to pregnancy as a period of risk. Five-year incidence
was found to be 2.5. per 1000. Clinical expressions and ratio carotid to
vertebral-basilar TIA hardly differed from that found in materials of older
patients. All 26 remained stroke-free during a mean observation period of
55 months. Known risk factors like hypertension, carotid stenosis and
cardiac disease were found in only a few. Five women had low blood
pressure. It is suggested that TIA in younger age groups may constitute a
separate entity where, among other, haemodynamic factors and pregnancy play
a role.
ARTICLES
Transient cerebral ischemic attacks in the young and middle aged. A population study
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