Objective: To study the risk factors, etiology and management of ischemic stroke in young adults in a South Asian population.
Methods: Retrospective study conducted at a large tertiary hospital in Karachi. One hundred and eighteen patients between fifteen and forty-five years admitted over a five year period with a diagnosis of ischemic infarct constituted the study population. The study variables included the full clinical spectrum, spanning historical, laboratory, radiological and outcome parameters.
Results: Forty-three percent of patients were hypertensive and 30% were diabetic. The combination of diabetes and hypertension was found in 19.5% of patients, intra-cranial and carotid artherosclerosis in 22% and embolism in 11% of the cases. The in-hospital mortality was 11%. The outcome was excellent in 27%, good in 50% and poor in 23% of patients.
CONCLUSION: The risk factors for artherosclerosis and the contribution of intra and extra-cranial artherosclerosis were found to be much higher than those from the Western Hemisphere.
Journal of Pakistan Medical Association
Razzaq, A. A.,
Khan, B. A.,
Baig, S. M.
(2002). Ischemic stroke in young adults of South Asia. Journal of Pakistan Medical Association, 52(9), 417-422.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_med_neurol/157
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