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(Strokes in young adults: epidemiology, and prevention, Dževdet Smajlović,…
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Department of Neurology, University
Clinical Centre Tuzla, School of
Medicine, University of Tuzla, Bosnia
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Department of Neurology, University
Clinical Centre Tuzla, Trnovac bb,
75 000 Tuzla, Bosnia and Herzegovina
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Abstract: Strokes in young adults are reported as being uncommon, comprising 10%–15% of
all stroke patients. However, compared with stroke in older adults, stroke in the young has a dis-
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stroke patients is different from that in older patients. Modifiable risk factors for stroke, such as
dyslipidemia, smoking, and hypertension, are highly prevalent in the young stroke population,
with no significant difference in geographic, climatic, nutritional, lifestyle, or genetic diversity.
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treatment strategy aimed at reducing morbidity and mortality related to stroke. Therefore, primary
prevention is very important with regard to stroke in young adults, and aggressive treatment of
risk factors for stroke, such as hypertension, smoking, and dyslipidemia, is essential. The best
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additional risk factors. However, there is a lack of specific recommendations and guidelines for
stroke management in young adults. In conclusion, strokes in young adults are a major public
health problem and further research, with standardized methodology, is needed in order to give
us more precise epidemiologic data. Given the increasing incidence of stroke in the young, there
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Keywords: cerebrovascular diseases, age, incidence, risk factors, etiology, management
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Despite considerable improvement in primary prevention, diagnostic workup, and treat-
ment, stroke is in second or third place on a mortality list, and projections indicate that
it will remain so in the year 2020. Furthermore, stroke is a leading cause of disability.
Although published reports indicate that stroke is not common in young adults, in
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age group, and stroke should be considered as the differential diagnosis. The nature
and etiology of stroke in young adults is different from that in older patients, and
has an influence on diagnostic evaluation and treatment, so knowledge gleaned from
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stroke in older people, stroke in the young has a disproportionately large economic
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