Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review

Abstract Background Stroke in adolescents and young adults are uncommon, and unlike in older adults, the etiology can be a challenging puzzle to solve. Patients often lack traditional risk factors such as hypertension or may be too young for suspected atherosclerotic disease. Additionally, among thi...

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Main Authors: Avinash Sookdeo, Yusuf M. Shaikh, Mridula Bhattacharjee, Javaria Khan, Waqar Ahmad Alvi, Muhammad Saad Arshad, Arafat Hassan Tariq, Muhammad Muzammil
Format: Article
Language:English
Published: BMC 2024-11-01
Series:International Journal of Emergency Medicine
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Online Access:https://doi.org/10.1186/s12245-024-00771-6
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author Avinash Sookdeo
Yusuf M. Shaikh
Mridula Bhattacharjee
Javaria Khan
Waqar Ahmad Alvi
Muhammad Saad Arshad
Arafat Hassan Tariq
Muhammad Muzammil
author_facet Avinash Sookdeo
Yusuf M. Shaikh
Mridula Bhattacharjee
Javaria Khan
Waqar Ahmad Alvi
Muhammad Saad Arshad
Arafat Hassan Tariq
Muhammad Muzammil
author_sort Avinash Sookdeo
collection DOAJ
description Abstract Background Stroke in adolescents and young adults are uncommon, and unlike in older adults, the etiology can be a challenging puzzle to solve. Patients often lack traditional risk factors such as hypertension or may be too young for suspected atherosclerotic disease. Additionally, among this group, various stroke mimics exist that can cloud physician judgment, leading to under- or overtreatment. Aim There is a significant gap in the current literature and clinical evidence regarding stroke in this population. This review of the literature aims to extract important information surrounding the etiology, risk factors, diagnosis, management, and complications of stroke in younger people and address stroke mimics and how they can appear similar and different from ischemic or hemorrhagic stroke. Additionally, we discuss the importance of furthering research in this specific population in all areas due to a concerning rise in stroke frequency and unique associated disabilities. Conclusion The acute treatment of stroke in young patients is similar to older adults. While stroke mimics may complicate suspicion and cause hesitance, delays in stroke care should be avoided. There remains a need for research in the areas of diagnosis, management, and assessment of long-term care and challenges in this population of patients.
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spelling doaj-art-b715afae98a14f6f91ecb9df732d16f12025-08-20T02:51:42ZengBMCInternational Journal of Emergency Medicine1865-13802024-11-0117111110.1186/s12245-024-00771-6Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative reviewAvinash Sookdeo0Yusuf M. Shaikh1Mridula Bhattacharjee2Javaria Khan3Waqar Ahmad Alvi4Muhammad Saad Arshad5Arafat Hassan Tariq6Muhammad Muzammil7St. George’s University School of MedicineDow University of Health SciencesKushtia Medical CollegeAllama Iqbal Medical CollegeCMH Institute of Medical SciencesIslamic International Medical CollegeCMH Institute of Medical SciencesDow University of Health SciencesAbstract Background Stroke in adolescents and young adults are uncommon, and unlike in older adults, the etiology can be a challenging puzzle to solve. Patients often lack traditional risk factors such as hypertension or may be too young for suspected atherosclerotic disease. Additionally, among this group, various stroke mimics exist that can cloud physician judgment, leading to under- or overtreatment. Aim There is a significant gap in the current literature and clinical evidence regarding stroke in this population. This review of the literature aims to extract important information surrounding the etiology, risk factors, diagnosis, management, and complications of stroke in younger people and address stroke mimics and how they can appear similar and different from ischemic or hemorrhagic stroke. Additionally, we discuss the importance of furthering research in this specific population in all areas due to a concerning rise in stroke frequency and unique associated disabilities. Conclusion The acute treatment of stroke in young patients is similar to older adults. While stroke mimics may complicate suspicion and cause hesitance, delays in stroke care should be avoided. There remains a need for research in the areas of diagnosis, management, and assessment of long-term care and challenges in this population of patients.https://doi.org/10.1186/s12245-024-00771-6StrokeStroke-mimicAdolescent strokePediatric strokeYoung-adult stroke
spellingShingle Avinash Sookdeo
Yusuf M. Shaikh
Mridula Bhattacharjee
Javaria Khan
Waqar Ahmad Alvi
Muhammad Saad Arshad
Arafat Hassan Tariq
Muhammad Muzammil
Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review
International Journal of Emergency Medicine
Stroke
Stroke-mimic
Adolescent stroke
Pediatric stroke
Young-adult stroke
title Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review
title_full Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review
title_fullStr Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review
title_full_unstemmed Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review
title_short Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review
title_sort current understanding of stroke and stroke mimics in adolescents and young adults a narrative review
topic Stroke
Stroke-mimic
Adolescent stroke
Pediatric stroke
Young-adult stroke
url https://doi.org/10.1186/s12245-024-00771-6
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