Mackey Jason
Continuum (Minneap Minn). 2014 Apr;20(2 Cerebrovascular Disease):352-69. doi: 10.1212/01.CON.0000446106.74796.e9.
This article provides an overview of the evaluation and management of ischemic stroke in young adults, with an emphasis on cervical artery dissection, patent foramen ovale, and hypercoagulable states.
The incidence of ischemic stroke in young patients is increasing, although the reasons remain unclear. Patients with ischemic stroke at a young age are more likely to die at an early age than their peers. Well-established vascular risk factors are prevalent in young stroke patients. Recent studies have informed the treatment of dissection and patent foramen ovale among others. The utility of testing for hypercoagulable states in ischemic stroke is unclear.
Ischemic stroke in young adults is a major public health problem. A wide range of etiologies of ischemic stroke is found in this age group. A careful history, thorough examination, and methodical workup are essential. Specific management is predicated on identification of the underlying etiology.
本文概述了年轻成年人缺血性卒中的评估与管理，重点关注颈动脉夹层、卵圆孔未闭和高凝状态。
年轻患者缺血性卒中的发病率正在上升，尽管原因尚不清楚。年轻缺血性卒中患者比同龄人更有可能在早年死亡。既定的血管危险因素在年轻卒中患者中很常见。最近的研究为夹层和卵圆孔未闭等的治疗提供了依据。在缺血性卒中中检测高凝状态的效用尚不清楚。
年轻成年人缺血性卒中是一个重大的公共卫生问题。该年龄组存在多种缺血性卒中病因。仔细的病史询问、全面的检查和有条不紊的检查至关重要。具体的管理取决于潜在病因的识别。
