Clinical Case Database / Category: Patient Management
Diagnosis and management of strokes in teenagers and young adults
Publication details
Arpan K Banerjee, MBBS, FRCP, FRCR, FBIR, Sumit J Karia, MD
Foundation Years Journal, volume 8, issue 1, p.62 (123Doc Education, London, January 2014)
Abstract
Although much more common in older adults, stroke should also be included in the differential diagnosis of acute focal neurological deficit presentations in young adults, teenagers and children, although it remains a rare presentation, with an incidence of ~1:20.000. In older adults atherosclerosis is the most common cause but in younger patients this aetiology is uncommon and other causes have to be considered. This case-based discussion will focus on patient presentation and physical examination findings, with guidance into appropriate management and radiological imaging. The classic findings in different imaging modalities will be briefly explained.
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Authors
Arpan K Banerjee, MBBS, FRCP, FRCR, FBIR (Corresponding author)
From the Directorate of Radiology
Heart of England NHS Foundation Trust
Birmingham
B9 5SS
UK
arpan.banerjee@heartofengland.nhs.uk
Sumit J Karia, MD
From the Directorate of Radiology
Heart of England NHS Foundation Trust
Birmingham
B9 5SS
UK
References
1. Banerjee AK. The central nervous system. In: Radiology made easy, Banerjee A.K. 2ndedn. Cambridge University Press 2006, 94-116.
2. Mian AZ, Karia SJ, Davidoff A, et al. All about the brain. In: Radiological Society of North America scientific assembly. Oak Brook, IL: Radiological Society of North America, 2010
3. Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the american heart association/american stroke association. Stroke 2013; 44:870.
4. Oliveira-Filho J, Koroshetz W. Antithrombotic treatment of acute ischemic stroke and transient ischemic attack. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2013.
5. Goldstein LB, Samsa GP. Reliability of the National Institutes of Health Stroke Scale. Extension to non-neurologists in the context of a clinical trial. Stroke 1997; 28:307.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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