Abstract
One hundred and fifty nine patients who experienced the first episode of stroke between 15 to 45 year-old is analyzed for possible risk factors. These patients whose diagnosis of stroke were all approved by the computerized tomography, were collected from the National Taiwan University Hospital (NTUH) from 1983 to 1990. They included 79 cases of cerebral hemorrhage (48 males and 31 females) and 80 cases of cerebral infarction (47 males and 33 females). The frequency of male stroke was about 30% higher than female. Atherothrombosis and rheumatic heart disease still dominate in cerebral infarction. The main etiology of cerebral hemorrhage in this group was hypertension. Vascular malformation was relatively rare. The ambulation rate with/without regular cane was 93%. Since the life expectance of young stroke is long, and the reattack rate is increased, secondary prevention with early detection and control of risk factors should be emphasized.
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