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Accès ouvert déclaré 2013 article

Acute Cerebrovascular Disease in the Young

214Citations signalées, ce qui n’est pas une note de qualité
59Institutions déclarées
13Pays d’affiliation déclarés

Rattachement africain : de, at, fi, ru, gb, be, cn, pt, fr, it, mt, pl, hr. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

BACKGROUND AND PURPOSE: Strokes have especially devastating implications if they occur early in life; however, only limited information exists on the characteristics of acute cerebrovascular disease in young adults. Although risk factors and manifestation of atherosclerosis are commonly associated with stroke in the elderly, recent data suggests different causes for stroke in the young. We initiated the prospective, multinational European study Stroke in Young Fabry Patients (sifap) to characterize a cohort of young stroke patients. METHODS: Overall, 5023 patients aged 18 to 55 years with the diagnosis of ischemic stroke (3396), hemorrhagic stroke (271), transient ischemic attack (1071) were enrolled in 15 European countries and 47 centers between April 2007 and January 2010 undergoing a detailed, standardized, clinical, laboratory, and radiological protocol. RESULTS: Median age in the overall cohort was 46 years. Definite Fabry disease was diagnosed in 0.5% (95% confidence interval, 0.4%-0.8%; n=27) of all patients; and probable Fabry disease in additional 18 patients. Males dominated the study population (2962/59%) whereas females outnumbered men (65.3%) among the youngest patients (18-24 years). About 80.5% of the patients had a first stroke. Silent infarcts on magnetic resonance imaging were seen in 20% of patients with a first-ever stroke, and in 11.4% of patients with transient ischemic attack and no history of a previous cerebrovascular event. The most common causes of ischemic stroke were large artery atherosclerosis (18.6%) and dissection (9.9%). CONCLUSIONS: Definite Fabry disease occurs in 0.5% and probable Fabry disease in further 0.4% of young stroke patients. Silent infarcts, white matter intensities, and classical risk factors were highly prevalent, emphasizing the need for new early preventive strategies. Clinical Trial Registration Information- URL: http://www.clinicaltrials.gov.Unique identifier: NCT00414583.

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Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Acute Cerebrovascular Disease in the Young
Date Crossref
01/02/2013
Éditeur
Ovid Technologies (Wolters Kluwer Health)
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Les institutions déclarées

Institut für Schlaganfall- und DemenzforschungUniversity of RostockMedical University of GrazCharité - Universitätsmedizin BerlinFinland UniversityGiessen School of TheologyUniversität UlmHeidelberg UniversityUniversitätsmedizin GreifswaldMoscow Research and Clinical Center for NeuropsychiatryUniversity of MünsterScience OxfordThe StablesUniversity of AntwerpZNA Middelheim HospitalLeibniz-Institute for Food Systems Biology at the Technical University of MunichUniversity of Applied Sciences MainzMeyer (China)Klinikum Altenburger LandHasso Plattner InstituteKleinwächter (Germany)Institute of Pathology CelleSchmid (Germany)Rohde & Schwarz (Germany)Technische Universität DresdenBecker Technologies (Germany)Hanseatic University RostockHochschule Düsseldorf University of Applied SciencesRoth and Rau (Germany)Goethe University FrankfurtUniversity Hospital FrankfurtUniversity of GlasgowAdam Smith InstituteUniversität HamburgUniversity of HelsinkiMetso (Finland)Universität InnsbruckJena University HospitalChristian-Albrechts-Universität zu KielUniversity of KlagenfurtLeipzig UniversityKU LeuvenUniversity of Arts and Industrial Design LinzMuseu da LourinhãUniversité de LyonPhilipps University of MarburgUniversity of MilanUniversity of MaltaNordhausen University of Applied SciencesStadtwerke Straubing (Germany)Beilstein-InstitutUniversity of RegensburgUniversity of SalzburgSalzburger LandesklinikenUniversity of TübingenUniversity of WarsawHochschule Campus WienBöhler Edelstahl (Austria)University of Zagreb

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Acute Ischemic Stroke ManagementLysosomal Storage Disorders ResearchBlood Coagulation and Thrombosis Mechanisms

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