Strokes in Young Adults

Occlusion of the internal carotid or middle cerebral artery was seen in 44 young adults of both sexes from a rural population in Ceylon over a period of four years. None had hypertension, diabetes, prediabetes, or hypercholesterolaemia. There were 19 men with internal carotid occlusions, most being...

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Bibliographic Details
Published in:BMJ 1972-09, Vol.3 (5830), p.791-793
Main Authors: Seneviratne, B. I. B., Ameratunga, B.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Angiography
Arterial Occlusive Diseases - epidemiology
Arteries
Arteriosclerosis - epidemiology
Atherosclerosis
Blood
Carotid Artery, Internal
Cerebral Arteries
Cerebrovascular Disorders - epidemiology
Diet
Dietary Carbohydrates
Embolisms
Female
Humans
Hyperlipidemias - etiology
Internal carotid artery
Intracranial Embolism and Thrombosis - epidemiology
Lesions
Male
Middle Aged
Middle cerebral artery
Papers and Originals
Pregnancy
Pregnancy Complications, Cardiovascular - epidemiology
Prospective Studies
Rural Population
Sex Factors
Sri Lanka
Strokes
Thrombosis
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Summary:Occlusion of the internal carotid or middle cerebral artery was seen in 44 young adults of both sexes from a rural population in Ceylon over a period of four years. None had hypertension, diabetes, prediabetes, or hypercholesterolaemia. There were 19 men with internal carotid occlusions, most being due to atherosclerotic thrombosis. The high incidence of atherosclerosis in these patients on a marginal diet remains an enigma, and we suggest that carbohydrate-induced hyperlipidaemia might be an important aetiological factor. There were 13 men with middle cerebral occlusions, the aetiology of which remains obscure. Occult embolism or atherothrombosis are suggested as possible causative factors. Of the 12 women five had middle cerebral artery occlusions in the last trimester of pregnancy and two had internal carotid artery occlusions in the puerperium. The pattern of ischaemic strokes in women aged 15-45 was similar to that observed in Western countries, though our patients differed ethnologically and in dietary habits.
ISSN:0007-1447
0959-8138
1468-5833
DOI:10.1136/bmj.3.5830.791