Wiborg A, Widder B
Neurologische Klinik, Bezirkskrankenhaus Günzburg, Akademisches Krankenhaus, Universität Ulm..
Fortschr Med. 1998 May 10;116(13):20-4, 26-7.
Some 5 to 10% of all ischemic insults occur in young adults and constitute a diagnostic-therapeutic challenge. The leading causes are atherosclerotic disease, vascular dissections, vasculitis and, in particular, cardioembolic events. In addition, there exists a broad spectrum of relatively rare disorders most of which need to be dealt within specialized neurological stroke units. Nevertheless, the etiology of up to 20% of such events remains unexplained. The present article provides an up-to-date review of the necessary etiological considerations, diagnostic measures, and results relevant to the prognosis of juvenile ischemic stroke.
约5%至10%的缺血性损伤发生在年轻人中，这构成了诊断和治疗上的挑战。主要原因是动脉粥样硬化疾病、血管夹层、血管炎，尤其是心源性栓塞事件。此外，还存在一系列相对罕见的疾病，其中大多数需要在专门的神经卒中单元进行处理。然而，高达20%的此类事件病因仍不明。本文对青少年缺血性卒中预后相关的必要病因学考量、诊断措施及结果进行了最新综述。
