Even Young People Are Vulnerable to Stroke

Contrary to conventional thinking, it’s not just senior citizens who suffer strokes. One-third of the estimated 780,000 Americans who have strokes each year are under age 65. Even teens, children and infants can be susceptible.

Cedars-Sinai Medical Center may be one of the few centers in the nation offering a special support group for younger survivors of strokes – the “brain attacks” that occur when an area of the brain is deprived of oxygen after an artery becomes blocked or ruptured. Launched in September 2007, “One Stroke Ahead: Young Person’s Stroke Support Group” caters to survivors ranging in age from 18 to 55, addressing issues faced by those with interests in returning to school or work and resuming their family roles and responsibilities.

“Most people generally know what a stroke is, but unless their lives are directly affected, they rarely have an understanding of the consequences of stroke or potential outcomes. The support group provides an opportunity for young stroke survivors to share their experiences and learn from one another about coping with the dramatic changes taking place in their lives,” said David Palestrant, M.D., director of Neuro-Critical Care and the Stroke Program at Cedars-Sinai.

The support group’s facilitator, Terri Lukomski, a certified therapeutic recreation specialist (CTRS) at Cedars-Sinai’s Department of Physical Medicine and Rehabilitation, recently made a presentation about young people and stroke at an American Therapeutic Recreation Association convention. In her review of recent medical literature, she found that general risk factors are the same for older and younger populations, though a variety of individual circumstances and medical conditions may also contribute to a young person’s risk.

“There is concern that young people are eating less-healthy diets and getting less regular exercise, and there is evidence of increased hyperlipidemia (unhealthy levels of fat in the blood), obesity and diabetes in college students,” Lukomski said. “All of these conditions are stroke risk factors for everyone, regardless of age. But while these risk factors can be managed in most cases, there are some factors – such as family history, race, or gender – that individuals cannot control.”

Among risk factors, trends and observations related to strokes that affect young people:

• Across all age groups, more men than women have strokes, but it is a fatal occurrence in more women than men. (Twice as many women die from stroke than from breast cancer.) In the 18 to 45 year age group, more women than men suffer strokes.

• Women over age 30 who smoke and take high-estrogen oral contraceptives have a stroke risk 22 times higher than average.

• Women who are pregnant have a slightly increased risk of stroke.

• Young people may be more likely than older people to downplay or disregard the symptoms of a stroke or a transient ischemic attack (a “small” stroke that causes only temporary symptoms). But people who have had a previous stroke or transient ischemic attack – whether acknowledged or not – are at greatly increased stroke risk.