Every year, 30,000 people under 55 in Germany suffer a stroke. Learn about the unique causes in younger adults, the role of cervical artery dissection, and why an unknown cause may mean a lower risk of recurrence.
Dr Lars Kellert, consultant at LMU Munich, has evaluated with other authors numerous studies on stroke in younger people. With 30,000 people under 55 affected each year, the number of young people affected in Germany is greater than expected. Classic risk factors such as diabetes, high blood pressure and lipid metabolism disorders hardly play a role in these cases. According to Kellert, up to 25 percent of juvenile strokes are caused by spontaneous dissections of a cervical artery, which lead to vascular occlusions. Coagulation disorders are another cause.
In up to half of strokes among young people, doctors find no cause despite intensive diagnostics. But Kellert does have one good message for these patients: “If there’s no clear cause, the recurrence risk is significantly lower”, he explains. But patients need to learn to live with the uncertainty. “But in principle, it’s the better kind of news.”
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