33 yrs male patient labourer by occupation presented with left sided weakness o/e bp was130/80cvs s1s2 heated mourners audible CT scan brain attached,what are the causes of stroke in young.other systems normal

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Ischemic infarction Rt MCA posterior division. Young stroke. Suggest cardiac evaluation , blood work up all routein bio chemistry, screening for vasculitis including VDRL & hepatitis profile, HIV , test for thrombophilia, fasting homocystein, serum lactic acid. IF cardiac evaluation shows embolic stroke & then, No need for vasculitis screening & other investigations. Treat with acute stroke regimen & if embolic start with anticoagulation

Right MCA infarct with mass effect. Cause in young adults are such as arterial dissection, vasculitis, cerebral vein thrombosis and moya-moya syndrome.

Infarct in Rt MCA territory... D/d Thrombophilias Vasculitis Isolated angiitis of the central nervous system, heritable disorders of connective tissue and other genetically determined disorders (mitochondrial cytopathies, CA-DASIL) account for a small proportion of ischaemic strokes in the young.

As you said young male Audible murmur Poor socio economic status labourer It infarct of RT MCA territory Dd 1 are valvular involvement in undiagnosed RHD with cardio embolism 2 vasculitis 3 atherosclerosis 4 thrombophilia Most probably is RHD with valvular involvement with cardio embolism

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Case of young ischemic stroke Mc cause is cardioembolic stroke CVT Hypercoagulable state Vasculitis Infection -HIV , tuberculosis, Sickle cell disease

Rt. MCA infarction with mass effect. Young stroke . Suggest Cardiac evaluation.

Extracranial arterial dissection, cardioembolism, premature atherosclerosis, haematological and immunological disorders and migraine.

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Big Temporo parietal MCA INFARCT, Anticoagulant heparin followed by VKA. Transesophageal echo

Subdural hematoma with mid line shifting.surgical intervention may be needed.

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