Lisovoski F, Rousseaux P
Service de Neurochirurgie, Hôpital Maison Blanche, Reims, France.
J Neurol Neurosurg Psychiatry. 1991 Jul;54(7):576-9. doi: 10.1136/jnnp.54.7.576.
The aetiology of strokes was studied in a hospital based series of patients aged up to 40 years with precise clinical and radiological criteria. One hundred and forty five patients (75 males and 73 females) aged five to 40 years with cerebral ischaemia were evaluated. Aetiology was heterogeneous and could be classified into seven groups. Cerebral arteriograms were performed in all cases and indicated the aetiological diagnosis in most patients. Embolism was the most frequent recognised abnormality (38.4%). There were no complications of arteriography. Arterial dissections discovered by arteriography were the cause of the stroke in 10.1% of the patients. Atherosclerosis was diagnosed in 32 cases and was the commonest cause (21.6%). In one fifth of cases no cause was found. Contraceptive drugs were considered as potential cause of ischaemic stroke in 11.5%, cardiac diseases in 12.8% and haematological disorders in 8.1%. Other potential causes included migraine, inflammatory diseases, pregnancy and lacunas. Follow up in 126 cases showed that many patients had good functional recovery.
在一项基于医院的研究中，采用精确的临床和放射学标准，对年龄在40岁及以下的一系列患者的中风病因进行了研究。对145例年龄在5至40岁之间的脑缺血患者（75例男性和73例女性）进行了评估。病因多种多样，可分为七组。所有病例均进行了脑血管造影，大多数患者据此明确了病因诊断。栓塞是最常见的确诊异常情况（38.4%）。血管造影无并发症。血管造影发现的动脉夹层是10.1%患者中风的病因。诊断出32例动脉粥样硬化，是最常见的病因（21.6%）。五分之一的病例未发现病因。避孕药被认为是11.5%缺血性中风的潜在病因，心脏病为12.8%，血液系统疾病为8.1%。其他潜在病因包括偏头痛、炎症性疾病、妊娠和腔隙性脑梗死。126例患者的随访显示，许多患者功能恢复良好。
