Stroke, Vol 24, 792-795, Copyright © 1993 by American Heart Association
C Leno, J Berciano, O Combarros, JM Polo, J Pascual, F Quintana, J Merino, C Sedano, R Martin-Duran and C Alvarez
BACKGROUND AND PURPOSE: The aim of this study was to determine the
incidence, type, and prognosis of stroke in young adults in Cantabria,
Spain. METHODS: We investigated prospectively all patients aged 50 years or
below who were admitted with the diagnosis of a stroke to the University
Hospital "Marques de Valdecilla" from April 1, 1986, to March 31, 1988.
This is the main hospital of the region to which all patients with
neurological problems are referred. These patients underwent a complete
clinical and laboratory assessment for stroke and had 1-year mean
follow-up. RESULTS: The total series included 81 patients. The annual
age-specific crude incidence rates of stroke were 17.3 and 10.4 per 100,000
for males and females, respectively. Twenty- four patients (30%) were
diagnosed as having nonembolic cerebral infarction, 14 (17%) embolic
cerebral infarction, 20 (25%) subarachnoid hemorrhage, 22 (27%) spontaneous
cerebral hemorrhage, and one case (1%) cerebral venous thrombosis. Eighteen
patients (22%) died within 30 days of the cerebrovascular event, and two
others died during the follow-up period. Seventy-nine percent of the
survivors recovered and were completely self-sufficient. CONCLUSIONS: The
incidence of stroke in the young found in Cantabria is comparable with that
in previous studies. The initial hospital mortality was not negligible, but
the prognosis among the survivors was favorable.
ARTICLES
A prospective study of stroke in young adults in Cantabria, Spain
Department of Neurology, University Hospital Marques de Valdecilla, Faculty of Medicine, Santander, Spain.
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