This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Nencini, P. Articles by Rosselli, A. Search for Related Content PubMed PubMed Citation Articles by Nencini, P. Articles by Rosselli, A.

Stroke, Vol 19, 977-981, Copyright © 1988 by American Heart Association

ARTICLES

Incidence of stroke in young adults in Florence, Italy

P Nencini, D Inzitari, MC Baruffi, L Fratiglioni, R Gagliardi, L Benvenuti, AM Buccheri, L Cecchi, A Passigli and A Rosselli
Department of Neurology, University of Florence, Italy.

A population-based study specifically addressing stroke in young adults (aged 15-44 years) was conducted in Florence, Italy, from 1983 to 1985. We identified 47 cases of first stroke by means of a daily check of the medical facilities of the city and nearby towns and a review of death certificates. Patients were assessed by a neurologist shortly after the onset of the stroke, and computed tomography or autopsy was performed in 96%. The average annual incidence rate for all stroke (cases per 100,000 population per year) was 9.0 (95% confidence interval 5.8-13.4) for males and 8.7 (95% confidence interval 5.5-13.0) for females. The average annual incidence rates for the pathologic types of stroke were 3.4 for cerebral infarction, 3.2 for subarachnoid hemorrhage, and 1.9 for intracerebral hemorrhage. The case-fatality ratio was 23.4% at 1 month. Among patients with ischemic strokes, atherosclerosis and cardiac disease accounted for 50% of the cases. Based on angiography or autopsy findings, aneurysm or arteriovenous malformation were demonstrated in 88% of the patients with subarachnoid hemorrhage. In 50% of the patients with intracerebral hemorrhage, no cause of bleeding was detected. Our study may supply information about stroke pathologic types in an unselected series of young adults.

This article has been cited by other articles:

				A. H. James, C. D. Bushnell, M. G. Jamison, and E. R. Myers Incidence and Risk Factors for Stroke in Pregnancy and the Puerperium Obstet. Gynecol., September 1, 2005; 106(3): 509 - 516. [Abstract] [Full Text] [PDF]

				K Nedeltchev, T A der Maur, D Georgiadis, M Arnold, V Caso, H P Mattle, G Schroth, L Remonda, M Sturzenegger, U Fischer, et al. Ischaemic stroke in young adults: predictors of outcome and recurrence J. Neurol. Neurosurg. Psychiatry, February 1, 2005; 76(2): 191 - 195. [Abstract] [Full Text] [PDF]

				B. S. Jacobs, B. Boden-Albala, I-F. Lin, and R. L. Sacco Stroke in the Young in the Northern Manhattan Stroke Study Stroke, December 1, 2002; 33(12): 2789 - 2793. [Abstract] [Full Text] [PDF]

				H. Naess, H.I. Nyland, L. Thomassen, J. Aarseth, G. Nyland, and K-M. Myhr Incidence and Short-Term Outcome of Cerebral Infarction in Young Adults in Western Norway Stroke, August 1, 2002; 33(8): 2105 - 2108. [Abstract] [Full Text] [PDF]

				D. Leys, L. Bandu, H. Henon, C. Lucas, F. Mounier-Vehier, P. Rondepierre, and O. Godefroy Clinical outcome in 287 consecutive young adults (15 to 45 years) with ischemic stroke Neurology, July 9, 2002; 59(1): 26 - 33. [Abstract] [Full Text] [PDF]

				C. Marini, R. Totaro, F. De Santis, I. Ciancarelli, M. Baldassarre, and A. Carolei Stroke in Young Adults in the Community-Based L'Aquila Registry : Incidence and Prognosis Stroke, January 1, 2001; 32(1): 52 - 56. [Abstract] [Full Text] [PDF]

				C. Lamy, J. B. Hamon, J. Coste, and J. L. Mas Ischemic stroke in young women: Risk of recurrence during subsequent pregnancies Neurology, July 25, 2000; 55(2): 269 - 274. [Abstract] [Full Text] [PDF]

				J. L. Ruiz-Sandoval, C. Cantu, and F. Barinagarrementeria Intracerebral Hemorrhage in Young People : Analysis of Risk Factors, Location, Causes, and Prognosis Stroke, March 1, 1999; 30(3): 537 - 541. [Abstract] [Full Text] [PDF]

				B. Kristensen, J. Malm, B. Carlberg, B. Stegmayr, C. Backman, M. Fagerlund, and T. Olsson Epidemiology and Etiology of Ischemic Stroke in Young Adults Aged 18 to 44 Years in Northern Sweden Stroke, September 1, 1997; 28(9): 1702 - 1709. [Abstract] [Full Text]

				S. J. Kittner, B. J. Stern, B. R. Feeser, J. R. Hebel, D. A. Nagey, D. W. Buchholz, C. J. Earley, C. J. Johnson, R. F. Macko, M. A. Sloan, et al. Pregnancy and the Risk of Stroke N. Engl. J. Med., September 12, 1996; 335(11): 768 - 774. [Abstract] [Full Text] [PDF]

				M. del Mar Saez de Ocariz, J. A. Nader, J. A. Santos, and M. Bautista Thalamic Vascular Lesions: Risk Factors and Clinical Course for Infarcts and Hemorrhages Stroke, September 1, 1996; 27(9): 1530 - 1536. [Abstract] [Full Text]

				N. Rozenthul-Sorokin, R. Ronen, A. Tamir, H. Geva, and R. Eldar Stroke in the Young in Israel : Incidence and Outcomes Stroke, May 1, 1996; 27(5): 838 - 841. [Abstract] [Full Text]

				T. Sharshar, C. Lamy, and J.L. Mas Incidence and Causes of Strokes Associated With Pregnancy and Puerperium : A Study in Public Hospitals of Ile de France Stroke, June 1, 1995; 26(6): 930 - 936. [Abstract] [Full Text]