SPONTANEOUS STROKES IN THE YOUNG

Abstract

Article1 November 1958SPONTANEOUS STROKES IN THE YOUNGHAROLD STEVENS, Ph.D., M.D., F.A.C.P.HAROLD STEVENS, Ph.D., M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-49-5-1022 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe spontaneous occurrence of cerebrovascular accidents in normotensive healthy individuals is contrary to the conventional notion that arteriosclerotic and occlusive vascular disease of the brain is a phenomenon of old age. Yet strokes in the young are not rare. Thirty-two such cases in young adults and two in children have been encountered by the author in private neurologic practice in the last seven years.Acute hemiplegia and other focal neurologic manifestations characterize this group. The ages range from five and one-half years to 45 years, the arbitrary cut-off point of this selection. No cases are included that had traumatic, infectious,...Bibliography1. Stevens H: Cerebral venous thromboses in childhood, in press. Google Scholar2. Hyland H: Intracranial venous thromboses in the puerperium, J. A. M. A. 142: 707, 1950. CrossrefMedlineGoogle Scholar3. Stevens H: Puerperal hemiplegia, Neurology 4: 723, 1954. CrossrefMedlineGoogle Scholar4. StevensAmmerman HH: Intracranial venous thrombosis in early pregnancy, Am. J. Obst. and Gynec., in press. Google Scholar5. Stevens H: Carotid artery thrombosis in childhood, Pediatrics, in press. Google Scholar6. Fisher M: Occlusion of the carotid arteries, Arch. Neurol. and Psychiat. 72: 187, 1954. CrossrefGoogle Scholar7. KaplanWalker AA: Complications of cerebral angiography, Neurology 4: 643, 1954. CrossrefMedlineGoogle Scholar8. RowbothamHayKirby GRA: Technique and dangers of cerebral angiography, J. Neurosurg. 10: 602, 1953. CrossrefMedlineGoogle Scholar9. Riishede J: Cerebral apoplexy, Acta psychiat. et neurol. 32: Suppl. 118, 1957. Google Scholar10. WoodToole FJ: Carotid artery occlusion and its diagnosis by ophthalmodynamometry, J. A. M. A. 165: 1264, 1957. CrossrefMedlineGoogle Scholar11. SprofkinBlakey BH: Acute spontaneous cerebral vascular accidents in young normotensive adults, Arch. Int. Med. 96: 617, 1956. CrossrefGoogle Scholar12. BerlinTumarkinMartin LBH: Cerebral thrombosis in young adults, New England J. Med. 252: 162-166 (Feb. 3) 1955. CrossrefMedlineGoogle Scholar13. WebsterGurdjianMartin JEF: Carotid artery occlusion, Neurology 6: 491, 1956. CrossrefMedlineGoogle Scholar14. GurdjianWebster EJ: Digital carotid artery compression with occlusion of the anterior cerebral artery, Neurology 7: 635, 1957. CrossrefMedlineGoogle Scholar15. Walsh FB: Clinical neuro-ophthalmology, 1957, The Williams & Wilkins Company, Baltimore. Google Scholar16. Fisher M: Senile dementia: a new mechanism of its causation, Canad. M. A. J. 65: 1, 1951. MedlineGoogle Scholar17. ClarkeHarrison EC: Bilateral carotid artery obstruction, Neurology 6: 705, 1956. CrossrefMedlineGoogle Scholar18. Bailliart P: Circulation artérielle rétinnienne, Ann. d'ocul. 154: 257, 1917. Google Scholar19. Magitot A: How to know the blood pressure in the vessels of the retina, Am. J. Ophth. 5: 777, 1922. CrossrefGoogle Scholar20. Van AllenBlodiBrintnall MFE: Retinal artery blood pressure measurements in diagnosis and surgery of spontaneous carotid occlusions, J. Neurosurg. 15: 19, 1958. CrossrefMedlineGoogle Scholar21. McDevittCarterGatjeFoleyWright ESBWI: Use of anticoagulants in treatment of cerebral vascular disease, J. A. M. A. 166: 592, 1958. CrossrefMedlineGoogle Scholar22. MillikanSiekertWhisnant CRJ: Anticoagulant therapy in cerebral vascular disease—current status, J. A. M. A. 166: 587, 1958. CrossrefMedlineGoogle Scholar23. RobWheeler CE: Thrombosis of internal carotid artery treated by arterial surgery, Brit. M. J. 2: 264, 1957. CrossrefMedlineGoogle Scholar24. GassSmathers HH: Carotid artery insufficiency corrected by internal carotid thrombectomy, Neurology 7: 670, 1957. CrossrefMedlineGoogle Scholar25. JacksonFromm IS: Observations on patency of cervical carotid artery following surgical treatment for thrombosis, J. Neurosurg. 14: 529, 1957. CrossrefMedlineGoogle Scholar26. BlumenthalHandlerBlache HFJ: The histogenesis of arteriosclerosis of the larger cerebral arteries, with an analysis of the importance of mechanical factors, Am. J. Med. 17: 337, 1954. CrossrefMedlineGoogle Scholar27. SeidenbergEcker RA: Psychodynamic and arteriographic studies of acute cerebral vascular disorders, Psychosom. Med. 16: 374, 1954. CrossrefMedlineGoogle Scholar28. Ecker A: Emotional stress before strokes: a preliminary report of 20 cases, Ann. Int. Med. 40: 49, 1954. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.*Presented at the Thirty-ninth Annual Session of The American College of Physicians, Atlantic City, New Jersey, April 28, 1958.From the Department of Neurology, George Washington University School of Medicine, Washington, D. C.Requests for reprints should be addressed to Harold Stevens, M.D., Professor of Neurology, George Washington University School of Medicine, Washington, D. C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPredictors of outcome of stroke in infants and children based on clinical data and radiologic correlatesIschemic cerebrovascular disease in the young. Two common causes in India.CEREBRAL VASCULAR DISEASE IN PREGNANCY 2-OCCLUSIONTHE LITTLE STROKEIntracranial venous thrombosis in early pregnancyInfluence of Some Vasoactive Drugs on Fibrinolytic ActivityTreatment of a Stroke 1 November 1958Volume 49, Issue 5Page: 1022-1034KeywordsAnticoagulantsLesionsNeurologyPathogensStrokeSyphilisThrombosisVascular diseasesVascular medicineYoung adults ePublished: 1 December 2008 Issue Published: 1 November 1958 PDF downloadLoading ...