Aetiology, Clinical Profile and Risk Factors of Young Stroke in Central India

Author(s): Yashwant Panwar, Paridhi Shivde, Pratiksha Piplewar, Umesh Chandra

BACKGROUND Stroke is disastrous particularly in young due to its immediate and long-term impact on victims, burden on their families and at large on the society. As the incidence of young stroke is increasing, we aimed to find out aetiology, clinical profile and risk factors of young stroke at Maharaja Yeshwant Rao Hospital, Central India. METHODS The present descriptive and clinical study was carried out in the Department of Medicine, M.G.M. Medical College and Maharaja Yeshwant Rao Hospital, Indore from Oct. 2013 to Oct. 2014 after approval from Institutional Ethics Committee. A total of 50 consecutive patients between 18-45 years of age presenting with stroke were recruited who were fulfilling inclusion criteria and exclusion criteria after taking prior informed consent. RESULTS Males (59%) were more commonly affected than females. Mean age of study population was 31.70±7.42 years and that of male and female patients was 33.03±7.131 and 29.85±7.237 years respectively and majority of stroke patients were in the age group of 36-40 years (26%). Motor deficit (90%) was most common clinical presentation. 78% patients suffered ischemic stroke. Most common aetiological factors were atherosclerosis (28%), smoking (40%), alcohol (32%) and hypertension (32%). CONCLUSIONS Smoking and alcohol are two leading modifiable risk factors found in our study, suggesting that increased public awareness and public health system interventions could reduce overall burden due to young stroke.