RT Journal Article
SR Electronic
T1 Recognition and management of stroke in young adults and adolescents
JF Neurology
JO Neurology
FD Lippincott Williams & Wilkins
SP 1089
OP 1097
DO 10.1212/WNL.0b013e3182a4a451
VO 81
IS 12
A1 Singhal, Aneesh B.
A1 Biller, José
A1 Elkind, Mitchell S.
A1 Fullerton, Heather J.
A1 Jauch, Edward C.
A1 Kittner, Steven J.
A1 Levine, Deborah A.
A1 Levine, Steven R.
YR 2013
UL http://n.neurology.org/content/81/12/1089.abstract
AB Approximately 15% of all ischemic strokes (IS) occur in young adults and adolescents. To date, only limited prior public health and research efforts have specifically addressed stroke in the young. Early diagnosis remains challenging because of the lack of awareness and the relative infrequency of stroke compared with stroke mimics. Moreover, the causes of IS in the young are heterogeneous and can be relatively uncommon, resulting in uncertainties about diagnostic evaluation and cause-specific management. Emerging data have raised public health concerns about the increasing prevalence of traditional vascular risk factors in young individuals, and their potential role in increasing the risk of IS, stroke recurrence, and poststroke mortality. These issues make it important to formulate and enact strategies to increase both awareness and access to resources for young stroke patients, their caregivers and families, and health care professionals. The American Academy of Neurology recently convened an expert panel to develop a consensus document concerning the recognition, evaluation, and management of IS in young adults and adolescents. The report of the consensus panel is presented herein.CI=confidence interval; ICH=intracerebral hemorrhage; IS=ischemic stroke; PFO=patent foramen ovale