Federico F, Calvario T, Di Turi N, Paradiso F
Università Degli Studi di Bari i Clinica Neurologica.
Acta Neurol (Napoli). 1990 Apr;12(2):101-8.
Fifty six patients aged 17 to 45 years who had Ischemic Cerebral Infarction (I.C.I.) were studied. The following etiologies were established: 1. Juvenile atherosclerosis (21 patients); 2. Cerebral embolism either from cardiac (10 patients) and from unknown source (3 patients); 3. Secondary coagulopathies (4 patients); 4. Non atherosclerotic vasculopathies (6 patients); 5. Traumas of skull and neck (3 patients); 6. Migraine (2 patients); 7. Oral contraceptives use (1 patient). In 6 cases the etiology remained unknown. Young subjects with I.C.I. are a heterogeneous group: however in most of them a reasonable cause can be found. The occurrence of acute death (14%) was high, while recurrent stroke (5%) and non acute death (3%) were rare when compared to older patients. At the follow-up 80% had a very little residual motor deficit but only 43% were able to return to previous work.
对56名年龄在17至45岁之间的缺血性脑梗死（I.C.I.）患者进行了研究。确定了以下病因：1. 青少年动脉粥样硬化（21例患者）；2. 心脏源性脑栓塞（10例患者）和不明来源脑栓塞（3例患者）；3. 继发性凝血障碍（4例患者）；4. 非动脉粥样硬化性血管病变（6例患者）；5. 颅脑和颈部外伤（3例患者）；6. 偏头痛（2例患者）；7. 使用口服避孕药（1例患者）。6例患者病因不明。患有缺血性脑梗死的年轻患者是一个异质性群体：然而，大多数患者都能找到合理的病因。与老年患者相比，急性死亡发生率（14%）较高，而复发性中风（5%）和非急性死亡（3%）较少见。随访时，80%的患者残留运动功能障碍非常轻微，但只有43%的患者能够重返工作岗位。
