Aim: The present study was conducted know the difference in
clinical profile in young and elderly stroke patients, by knowing this we can
help young physicians to combat this deadly and disabling disease in effective
manner.
Background: Stroke is a devastating and disabling cerebrovascular disease with
significant amount of residual deficit leading on to economic loss. The
cerebrovascular stroke is one of the leading causes of morbidity &
mortality in adult life. Indian studies have shown a stroke prevalence of
471.58/100000 population. Stroke mostly occurs in elderly people. Risk factors
for stroke differ between young and elderly patients.
Methods: This is a retrospective study of all new patients managed for stroke
in the medical ward of GMERS medical college and hospital, Gandhinagar, Gujarat
from January1, 2012 to December 31, 2013. We studied difference in clinical
presentation, risk factors, neurological presentation, pattern of brain
strokes, areas of brain affected as per CT scan findings in both the groups
GMERS medical college and hospital Gandhinagar.
Results: Incidence of stroke in elderly (≥45 years) was higher than young
(<45 years) patients with male predominance in both the groups. Most common
clinical presentation from both age groups was hemiplegia (75% in young vs.
72.1% in elderly). Common risk factors in were Hypertension and past h/o
Cerebrovascular disease (25%) and smoking (16.6%) in young and Hyepertension T
(37.1%), dyslipidemia and smoking (14.3%) in elderly. Most common type of
stroke in both age groups was ischemic (83.3% in young vs. 73.2% in elderly),
followed by Hemorrhagic. Common sites of hemorrhage in young and elderly were
lobar and thalamoganglionic. Most common infarction site in both age groups is
MCA territory.
Conclusion: The cerebrovascular stroke was more in elderly with hypertension
and smoking was the most common risk factor in both age groups and most common
type was ischemic. Most common site of hemorrhage in elderly was
thalamoganglionic followed by lobar. Most common site of infarct in both age
groups was area supplied by middle cerebral artery. More research is required
to address stroke pattern in young and elderly to combat this deadly and
disabling disease.
Author(s) Details:
Chirayu V. Vaidya,
Department of Medicine, Nootan Medical College & Research
Center, Visnagar 384315, Gujarat, India.
Drusty
K. Majmudar,
Department
of Radiodiagnosis, NHL Medical College, Shardaben Hospital, Saraspur,
Ahmedabad-380018, Gujarat, India.
Please see the link here: https://stm.bookpi.org/ANUMS-V9/article/view/13635
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