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The Young Stroke.

C. Warlow
Published 1979 · Medicine

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Publisher Summary Stroke in young adults is uncommon. In 1976 in England and Wales, 509 deaths under the age of 40 were attributed to cerebrovascular disease and of these 335 (66%) were because of subarachnoid hemorrhage. The frequency of cerebrovascular disease, reflected in the mortality statistics, is very much greater in the elderly than in the young and over the age of 30, the contribution of subarachnoid hemorrhage declines. This chapter discusses cerebral infarction and primary intracerebral hemorrhage in patients under the age of 40. A a stroke patient of any age requires careful nursing, physiotherapy, occupational therapy, and planned rehabilitation to as near normality as possible. In younger patients, there is often an identifiable and treatable cause and the appropriate treatment may not only prevent recurrence but also improve the prospects for recovery. Young patients may need particular advice concerning return to work and sexual activity. Clearly, risk factors for vascular disease, such as hypertension, smoking, and diabetes, should be minimized if possible.
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