Acidente vascular cerebral hemorrágico em adultos jovens

Abstract

Objective: The hemorrhagic stroke (HS) is of great importance for young adults due to its high rates of mortality and disability. Although uncommon, in recent years there has been a tendency to increase in incidence among young adults. This study seeks to identify the epidemiological characteristics of young adults affected by HS. Methods: We analyzed 49 patients aged between 20 and 45 years and diagnosed with HS. Results: By sex, there were 37 (75.5%) males and 12 (24.5%) female, mean age of 39.5 years. Systemic arterial hypertension (SAH) was the most prevalent risk factor (55.1%), followed by alcohol consumption (12.2%), diabetes mellitus (8.1%), migraine (8.1%), previous stroke (6.1%), chronic kidney disease (6.1%) and thrombophilia (2.0%). The hemorrhagic stroke secondary to arteriovenous malformations was 10.2% and the use of sympathomimetic drugs was 8.1%. The lobar region (46.9%) was the most affected. The mortality rate was 49%. Conclusions: The under-diagnosis and under control of hypertension in Brazil should highlight it as the primary risk factor. The increase in consumption of sympathomimetic drugs also rises its importance. Public health measures are necessary for the prevention of hemorrhagic stroke among young people.