Neurology Exam Prep Podcast Episode 42 - Stroke in the Young
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Feb 17, 2022 Exploring stroke in young patients, topics include genetic features of catacil and carasil, cardiac causes of stroke, imaging in carotid dissections, Fabry's disease, vasculitis as a cause of stroke, and treatment challenges in young individuals.
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Defining 'Stroke In The Young'
- 'Young' stroke typically refers to adults ~18–50 years old, sometimes up to 60–65.
- Definitions vary but the key is strokes in ages younger than expected for typical vascular disease.
Younger Adults Still Represent Many Strokes
- About 10–15% of ischemic strokes occur in adults under ~50 years old.
- Younger patients often recover better but have a longer lifetime stroke risk burden.
Why Young Stroke Rates Are Rising
- Incidence of stroke in young adults has risen, partly from more detection and rising vascular risk factors.
- Lifestyle, obesity, hypertension, diabetes, and substance use contribute to the trend.