Abstract

CONDE-CARDONA, Giancarlos et al. Cerebrovascular disease in young patients: key aspects of literature. Acta Neurol Colomb. [online]. 2021, vol.37, n.1, pp.39-48.  Epub May 06, 2021. ISSN 0120-8748.  https://doi.org/10.22379/24224022361.

Cerebrovascular disease (CVD) is a pathology with a high morbidity and mortality rate. Young adults, who are between the ages of 15 and 50, account for up to 15 % of cases. Besides the traditional risk factors, other factors are also observed, such as: consumption of cannabis, cocaine and methamphetamines. CVD of ischemic origin continues to be the most frequent cerebrovascular event, however, the hemorrhagic percentage increases compared to the rest of the adult population. Other causes include: arterio-venous malformations, aneurysms, embolic heart disease, autoimmune diseases, thrombophilias, among other pathologies. The symptoms are very varied and can present with pyramidal syndrome characterized by hemiplegia or hemiparesis, gait disturbances, hyperreflexia, hypertonia and hypotrophy. In addition, the patient may present with aphasia, epileptic seizures, and vestibular syndrome. However, there are cases in which no classical risk factors and etiologic diagnosis is evident becomes a challenge, necessitating studies seeking more specialized pathology trigger base. The therapeutic approach will always be accompanied by the detection and management of the triggering cause.

Keywords : stroke; cocaine; risk factors; young adult; thrombophilia; cannabis (MeSH).

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )