Abordagem para o diagnóstico de infarto cerebral isquêmico em adultos jovens
DOI:
https://doi.org/10.5281/zenodo.10621163Palavras-chave:
acidente vascular cerebral isquêmico em adultos jovens, abordagem diagnóstica, manifestações clínicas, investigações complementaresResumo
Introdução: o acidente vascular cerebral (AVC) isquêmico em adultos jovens emergiu como um problema de saúde relevante devido à sua crescente incidência, elevada mortalidade, longa duração da incapacidade e consequências sociais
Objetivo: descrever uma abordagem ao diagnóstico do AVC isquêmico em adultos jovens baseada na classificação etiopatogénica, na história e em exames complementares.
Método: foi realizado uma extensa revisão bibliográfica utilizando o motor de busca Google Scholar, as bases de dados bibliográficas PubMed, SciELO e Medline, e uma pesquisa por palavras-chave; foram selecionados 32 artigos cujo título e resumo estavam relacionados com o tema desta revisão.
Desenvolvimento: os subtipos etiopatogênicos do AVC isquêmico em adultos jovens diferem quando comparados aos adultos mais velhos, e suas causas etiológicas são mais variadas e heterogêneas. Os fatores de risco, os antecedentes patológicos pessoais e familiares, as manifestações clínicas não neurológicas e neurológicas permitem uma aproximação ao diagnóstico, enquanto as investigações complementares facilitam a confirmação do diagnóstico, a localização e o tamanho do infarto isquêmico, o estabelecimento da causa etiológica e o apoio às decisões terapêuticas.
Considerações finais: a história e as manifestações clínicas obtidas por meio de questionamento e exame físico, juntamente com investigações complementares, permitem abordar o diagnóstico do subtipo etiopatogênico e a causa do AVC isquêmico em adultos jovens, melhorando as possibilidades de seu tratamento.
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Copyright (c) 2024 Salvador Vidal Revé, Niorvis Martin Abiagues, Adriel Liusbikin Faure González, Karina Vidal Díaz
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
