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J Stroke Cerebrovasc Dis. 1994;4(2):101-5. doi: 10.1016/S1052-3057(10)80117-X. Epub 2010 Jun 09.

Nontraumatic hemorrhagic stroke in young adults in taiwan.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

J L Fuh, H C Liu, S J Wang, Y K Lo, L S Lee

Affiliations

  1. From the Neurological Institute, Veterans General Hospital-Taipei, National Yang-Ming Medical College, Taipei, Taiwan, Republic of China.

PMID: 26487610 DOI: 10.1016/S1052-3057(10)80117-X

Abstract

We reviewed the medical records and imaging studies on the in-hospital patients to investigate the clinical and etiological patterns in hemorrhagic stroke in young patients. We evaluated 210 patients (131 males and 79 females) aged 15-45 years who had traumatic hemorrhagic stroke between April 1, 1986, and November 30, 1992. Nontraumatic intracerebral hemorrhage was diagnosed in 170 patients (80.9%). The main causes of nontraumatic intracerebral hemorrhage were hypertension, ruptured arteriovenous malformation, and blood dyscrasia. A cause was not found in 42 patients (24.7%). Subarachnoid hemorrhage was found in 40 patients (19.1%). The main causes were ruptured aneurysms and arteriovenous malformations. The overall in-hospital survival of young patients with hemorrhagic stroke was 64.7%. Young adults with nontraumatic intracerebral and subarachnoid hemorrhage are a heterogeneous group. Hypertension accounts for about one-third of intracerebral hemorrhage and is an important preventable cause of hemorrhagic stroke in young adults in Taiwan.

Copyright © 1994 National Stroke Association. Published by Elsevier Inc. All rights reserved.

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