Etiopathogenetic features, course and outcome of hemorrhagic stroke in young people

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OBJECTIVE

Analysis of etiopathogenetic factors and features of the course of hemorrhagic stroke in young people.

MATERIAL AND METHODS

A retrospective analysis of 402 case histories with non-traumatic hemorrhagic stroke was carried out, of which 60 (14.93%) patients were young. The average age was 37.37±5.09 years. There were 19 (31.7%) females and 41 (68.3%) males. Statistical data processing was carried out using Microsoft Office 2010 and SPSS v.26.

RESULTS

The main causes of hemorrhagic stroke in young people were changes in cerebral vessels by the type of aneurysmal deformation of the vascular wall, including Moya-Moya disease, and arteriovenous malformations (60%). The second etiological factor of hemorrhagic stroke was arterial hypertension (40%). Intracerebral hematoma was the most common type of hemorrhagic stroke. The functional outcome was influenced by: the severity of the patient’s general condition, the severity of the neurological deficit, the degree of consciousness, the presence of concomitant pathology, convulsive, dislocation syndrome, leukocytosis, hyperglycemia, high creatinine levels.

CONCLUSION

The problem of hemorrhagic stroke at a young age is complex and relevant, since the etiological factor of the disease at this age differs significantly from that in older age groups, requires adequate diagnostic searches to identify the etiopathogenetic factor and subsequent secondary prevention.

Keywords:

hemorrhagic stroke

risk factors

stroke in young people

aneurysms

hypertension

fatal outcome

Authors:

Novikova L.B.

Bashkir State Medical University

Akopian A.P.

Bashkir State Medical University

Latypova R.F.

Bashkir State Medical University

Received:

18.01.2022

Accepted:

20.01.2022

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