ISCHEMIC STROKE IN YOUNG PEOPLE. FEATURES OF ETIOPATHOGENESIS AND SECONDARY PREVENTION

Abstract

Cerebrovascular diseases holds the second place in the structure of mortality and the first place in the structure of primary disability. Meanwhile, the proportion of ischemic strokes in the population is 80%, in which 11-15% of cases occur in young people. More than 1 mln. people who have suffered a stroke live in the Russian Federation, while one third of them are people of working age. Only 40% of young people with a diagnosed ischemic stroke return to work. The etiology of ischemic strokes in young people often remains unclear, which complicates secondary prevention. In our study, we determined the features of etiopathogenesis and secondary prevention of ischemic stroke in young people. For this, 10 patients aged 19 to 45 years with diagnosed ischemic stroke were examined. The incidence of etiopathogenetic subtypes of ischemic stroke in young people differs from the general population, because this pathology is more common among people of an older age group. Ischemic stroke of unknown etiology are most often diagnosed owing to a certain difficulty in verifying risk factors. In 3 patients, concomitant diseases were identified that are risk factors for the development of ischemic stroke, which were not known before the vascular event, therefore, these patients did not receive primary prevention of ischemic stroke. When searching for a possible pathology of the blood coagulation system in 40%, screening tests turned out to be positive, which affected the measures for the secondary prevention of ischemic stroke.