Ischaemic Stroke in the Young

Ischaemic Stroke in the Young

Edited by:
Turgut Tatlisumak
Turgut TatlisumakInstitute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Department of Neurology, Sahlgrenska University Hospital, Gothenburg, SwedenClose

and
Lars Thomassen
Lars ThomassenProfessor, University of Bergen, Centre for Neurovascular Diseases, Department of Neurology, Haukeland University Hospital, Bergen, NorwayClose

Abstract

Stroke in the young is different, complex, and challenging. This book delivers a comprehensive review of the different aspects of young ischaemic stroke. Incidence, risk factors, and aetiology differ notably from those seen in the elderly. There is an increased prevalence of traditional risk factors already at a young age, but the book also focuses on special risk factors in young stroke patients. In many young stroke patients, aetiology remains unclear. The book outlines an extensive diagnostic workup and a stroke subtype classification adapted for young strokes. Gender differences are prevalent in young stroke. The book describes risk factors that are either unique or more prevalent in women and the importance of treating them aggressively. Stroke symptoms in children are comparable to those in adults, but there is a dramatic bystander delay in diagnosing the stroke. The text therefore also deals with rapid stroke recognition and adaption to the special needs in children. Young stroke patients are under-represented in randomized controlled treatment trials. In the emergency setting, unusual clinical findings and off-label situations may be faced and the decision-making process may be challenging. Recommendations for secondary prevention are also mainly extrapolated from studies in older individuals. The authors extrapolate data and draw conclusions on the acute and prophylactic treatment of young stroke. Prognosis after young stroke is poor. Even minor stroke may have devastating life-long consequences for quality of life, education, and working capacity. The book points to the opportunity for lifelong prevention of vascular events.

Bibliographic Information

Publisher:: Oxford University Press

Print Publication Date:: Jan 2018

Print ISBN-13:: 9780198722366

Published online:: Feb 2018

DOI:: 10.1093/med/9780198722366.001.0001

Authors

Turgut Tatlisumak, editor Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden

Lars Thomassen, editor Professor, University of Bergen, Centre for Neurovascular Diseases, Department of Neurology, Haukeland University Hospital, Bergen, Norway

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Front Matter
- Foreword
- Contributors
Chapter 1 EpidemiologyMerel Sanne Ekker and Frank-Erik de Leeuw
Chapter 2 Risk factorsJukka Putaala and Nicolas Martinez-Majander
Chapter 3 ClassificationChristian Tanislav and Manfred Kaps
Chapter 4 Vascular aetiologyAnnette Fromm
Chapter 5 Cardiac aetiologyGuillaume Turc, David Calvet, and Jean-Louis Mas
Chapter 6 Special aetiologiesKatarina Jood and Turgut Tatlisumak
Chapter 7 Brain imaging (CT/MRI)Thomas Gattringer, Christian Enzinger, Stefan Ropele, and Franz Fazekas
Chapter 8 Vascular imaging (CTA/MRA)Thomas Gattringer, Christian Enzinger, Stefan Ropele, and Franz Fazekas
Chapter 9 Vascular imaging: UltrasoundUlrike Waje-Andreassen and Nicola Logallo
Chapter 10 EchocardiographySahrai Saeed and Eva Gerdts
Chapter 11 GeneticsAlessandro Pezzini
Chapter 12 Stroke in womenKirsi Rantanen and Karoliina Aarnio
Chapter 13 Stroke in childrenBettina Henzi and Maja Steinlin
Chapter 14 Acute treatmentSvetlana Lorenzano and Danilo Toni
Chapter 15 Secondary preventionJosé M. Ferro and Ana Catarina Fonseca
Chapter 16 Long-term prognosisHalvor Naess
End Matter
- Index

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date: 02 July 2022

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