Young Stroke Updates SREBR 15 1

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22. The Rehabilitation of Younger Stroke Patients pg. 1 of 77 www.ebrsr.com  22. The Rehabilitation of Younger Stroke Patients Hannah Mahon BSc, J. Ross Graham MSc, Elizabeth Staines MSc, Rachel Mays BSc (Cand), Robert Teasell MD, Norine Foley MSc, Katherine Salter MSc Key Points Strokes in young people are uncommon. Young stroke patients have higher rates of unknown etiology. Common young hemorrhagic stroke etiologies are arteriovenou s malformation, ruptured aneurysm or hypertension. These causes are not mutually exclusive. Common young ischemic stroke etiologies are cardiac embolism or advanced atherosclerosis. These causes are not mutually exclusive. Both modifiable and non-modifiable factors are significant in young stroke risk. Most common are hypertension , smoking, alcohol abuse, race (in black patients), migraine (in female patients), and hyperlipidemia (in those aged >35). Uncommon risk factors are mitral valve prolapse, moderate alcohol consumption, previous stroke, and drug use. Young stroke patients make better neurological recoveries. Young stroke rehabilitation differs in terms of better likelihood of neurological recovery and unique social issues. Young stroke patients have special rehabilitation needs. Improved recovery proves to be less stress on caregivers. Institutionalization is required infrequently in young stroke patients. Vocational issues are often neglected in young stroke patient rehabilitation. Vocational issues in young stroke patients are influenced by education, job type, and stroke severity. Young patients post-stroke have unique psychosocial and supportive needs rather than specific health concerns. Last updated June 2012 The Evidence-Based Review of Stroke Rehabilitation ( EBRSR  ) reviews current  practices in stro ke rehabilitation. Contacts: Dr. Robert Teasell 801 Commissioners Road East London, Ontario, Canada N6C 5J1 Phone: 519.685.4000 Web: www.ebrsr.com Email: [email protected] on.ca 

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