Mustafa ALPASLAN

Clinical Case Hidden in Young Patient is Ischemic Stroke

Stroke is a disease that can lead to severe sequelae and be fatal if not diagnosed early. While it is mainly seen in the older age group, it is rarely seen in the younger age group. A 23-year-old male patient presented to the emergency department with sudden onset of neurological symptoms. The fact that the patient was young and had promising clinical findings did not suggest the possibility of ischemic stroke in the first place. However, MRI imaging of the patient detected ischemic infarct areas in the brain. Various procedures were performed to investigate the etiological cause in the patient, but no pathological results were found. It was directed to the upper center for a more detailed examination. Early diagnosis of patients is crucial. An ischemic stroke should be considered in all patients with particular neurological symptoms, regardless of age.

Keywords:

ischemic stroke, young stroke emergency medicine,

PDF

___

1. Bahadırlı S, Karaoğlu U, Sarıhan A, Bulut M. Stroke in the Young Patient. Bozok Med J. 2018;8(2):108–111.
2. Ekker MS, Boot EM, Singhal AB, Tan KS, Debette S, Tuladhar AM, et al. epidemiology, aetiology, and management of ischaemic stroke in young adults. Lancet Neurol. 2018;17:790801.
3. Kissela BM, Khoury JC, Alwell K, Moomaw CJ, Woo D, Adeoye O, et al. Age at stroke: temporal trends in stroke incidence in a large, biracial population. Neurology. 2012;79:1781–7.
4. Uzar E, Çevik MU, Yücel Y, Cansever S, Arıkanoğlu A, Ekici F, et al. Demographic, etiological and risk factors of young patients with ischemic stroke. Duzce Med J. 2012;14(3):32–36.
5. Nor AM, Davis J, Sen B, Shipsey D, Louw SJ, Dyker AG, et al. The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument. Lancet Neurol. 2005;4(11):727–34.
6. Gilik BE, Yıldırım Ç, Özdemir TC. Conversion disorder is a diagnosis of exclusion: young, acute ischemic stroke patient. Ankara Med J. 2021;(2):317–320.
7. Bari O, Söğüt Ö, Çakmak S, Kaplan O. C-reactive protein/ albumin ratio in the initial evaluation of patients presenting to the emergency department with migraine attack. Anatolian Clin J Med Sci. 2021;26(1):80–87.
8. İnan RA, Özer D, Özen Barut B. Etiological investigation in young patients with ischemic stroke in a tertiary care center. KSU Faculty of Medicine. 2021;16(1):46–52.
9. Jacobs BS, Boden-Albala B, Lin IF, Sacco RL. Stroke in the young in the Northern Manhattan Stroke Study. Stroke. 2002;33:2789–93. 10. Betaş S, Ünlütürk Z, Öncel Ç. Epidemiology, aetiology and clinical characteristics of ischaemic stroke in young adults: a retrospective study from Denizli, Turkey. Pam Tıp Derg. 2023;16(2):3–3.
11. Zhang YN, He L. Risk factors study of ischemic stroke in young adults in Southwest China. Sichuan Da Xue Xue Bao Yi Xue Ban. 2012;43:553–557.