Clinical presentation and radiological profile of patients presented with stroke between the ages of 15-45 years

Abstract

Cerebrovascular disease is the most common life threatening neurological disease and is a concern in young patients especially in developing countries. This study aims to identify clinical presentation and radiological profile of patients presented with stroke between the ages of 15-45 years. 50 patients (29 males and 21 females) were included in the study. Detailed history taking and clinical examination were done and neurological deficits were identified. Other than routine investigations lumbar puncture for CSF analysis, electrocardiography, lipid profile, homocysteine levels and CT scan were done for all the patients. Other investigations such as echocardiography, Doppler etc. were done as clinically indicated. Decreased consciousness 34% [90%CI (22.98-45.02%)], VIIth cranial nerve involvement 54%[90%CI (42.41-65.59%)] and hemiparesis 60% [90%CI (48.60-71.40%)] were the clinical features seen. CT findings revealed ischemia 70% [90%CI (59.34-80.66%)], hemorrhage 20% [90%CI (10.7-29.3%)] and cortical venous thrombosis 10% [90%CI (3.02-16.98%)].