Ischemic Stroke in a Young Male Patient in Rural Uganda, Case report.


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

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.

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