Authors :
Dalton Kambale Munyambalu; Boniface Amanee Lumori; Franck K. Sikakulya; Yves Tibamwenda Bafwa
Volume/Issue :
Volume 7 - 2022, Issue 3 - March
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/35li2IH
DOI :
https://doi.org/10.5281/zenodo.6395353
Abstract :
The etiology of ischemic stroke in young
adult and adolescents is diverse and varies according to
age and geographic region and despite a systematic
diagnostic approach and more accurate diagnostic tools;
stroke of undetermined etiology is the most common
etiology among young stroke patients. In this case, we
present a young patient who developed ischemic stroke
at 23 years of age and had neither comorbidities nor risk
factors.
Case presentation: A 23-year-old male presented to the
hospital with two weeks history of disorders of speech,
diffuse headache, and lack of sleep and right sided
weakness of the body involving the face, the upper and
lower limbs which was of sudden onset. The neurological
examination revealed flat nasolabial fold to the right and
smile asymmetry, he had a dysarthria and right sided
hemiplegia. He had hyperreflexia and hypertonia of the
right limbs with a positive ankle clonus and Babinski
sign was positive. The initial non contrast head CT scan
suggested an acute ischemic infarction. The patient was
initiated on aspirin and clopidogrel plus fluoxetine.
Neurological symptoms resolved after two weeks.
Conclusion: This case report has taught us that acute
ischemic stroke is also a reality among young adults in
rural areas, although that is very rare in our common
practice. Findings from this case study will help to
implement measures of primary prevention in the
general population.
Keywords :
Ischemic stroke, young, Rural Uganda, case report.
The etiology of ischemic stroke in young
adult and adolescents is diverse and varies according to
age and geographic region and despite a systematic
diagnostic approach and more accurate diagnostic tools;
stroke of undetermined etiology is the most common
etiology among young stroke patients. In this case, we
present a young patient who developed ischemic stroke
at 23 years of age and had neither comorbidities nor risk
factors.
Case presentation: A 23-year-old male presented to the
hospital with two weeks history of disorders of speech,
diffuse headache, and lack of sleep and right sided
weakness of the body involving the face, the upper and
lower limbs which was of sudden onset. The neurological
examination revealed flat nasolabial fold to the right and
smile asymmetry, he had a dysarthria and right sided
hemiplegia. He had hyperreflexia and hypertonia of the
right limbs with a positive ankle clonus and Babinski
sign was positive. The initial non contrast head CT scan
suggested an acute ischemic infarction. The patient was
initiated on aspirin and clopidogrel plus fluoxetine.
Neurological symptoms resolved after two weeks.
Conclusion: This case report has taught us that acute
ischemic stroke is also a reality among young adults in
rural areas, although that is very rare in our common
practice. Findings from this case study will help to
implement measures of primary prevention in the
general population.
Keywords :
Ischemic stroke, young, Rural Uganda, case report.
