Lacy J R, Filley C M, Earnest M P, Graff-Radford N R
West J Med. 1984 Sep;141(3):329-34.
Of 131 young (17 to 44 years) and middle-aged (45 to 55 years) adults who had brain infarction or hemorrhage, the most common etiologic factors were rheumatic heart disease, migraine and oral contraceptive use among the younger group. In contrast, atherosclerotic, hypertensive and diabetes-associated cerebrovascular were the most common causes in the middle-aged group. Patients who have a stroke before age 45 should have prompt, complete laboratory and radiologic testing to define a possible treatable cause.
在131名患有脑梗死或脑出血的青年(17至44岁)和中年(45至55岁)成年人中,较年轻组最常见的病因是风湿性心脏病、偏头痛和口服避孕药的使用。相比之下,动脉粥样硬化、高血压和糖尿病相关的脑血管疾病是中年组最常见的病因。45岁之前发生中风的患者应迅速进行全面的实验室和影像学检查,以确定可能的可治疗病因。