Stroke conditions, in fact, are more frequent in adults and the elderly, but they can also affect children and young people – as happened with the sister of the sister. “The occurrence of stroke in young people may be more commonly related to metabolic diseases, vasculopathies, cardiometabolic diseases, congenital heart diseases and the use of drugs”, explains Feres Chaddad, professor of neurosurgery at Unifesp (Federal University of São Paulo) and chief of neurosurgery at BP – The Beneficência Portuguesa Hospital of São Paulo.
In the case of Julienne, the family already informed, in an interview with the newspaper Extra, that she was born with a malformation in the brain and, therefore, “could die at any moment”. “In this case, the greatest probability is that there was the presence of the arteriovenous malformation – an abnormal connection between the arteries and veins in the brain -, which usually manifests itself under 40 years of age,” he says.
According to Chaddad, the MAV, acronym for the disease, has an incidence (number of new cases) of 1 per 100 thousand inhabitants and the prevalence (number of total cases) of 18 per 100 thousand inhabitants.
The main form of manifestation of the disease is the risk of bleeding, which increases from 3 to 4% per year, reaching 30 to 40% in a decade. The risk of death also rises around 1% per year, reaching 10 to 15% per decade.
Still according to the neurologist, another cause of congenital origin for a stroke, in addition to AVM, is the brain cavernoma, which is also characterized as lesions in the cerebral blood vessels and may have hereditary origin.
What is stroke and the main symptoms
In general, stroke is the death of brain cells, which happens by interrupting blood flow in the organ. This lack of blood circulation can occur in two ways: hemorrhagic and ischemic.
The symptoms are the same for men and women. Sudden motor changes, such as muscle weakness, incoordination or inability to move a part of the body – usually the arm and leg on one side of the body only – and numbness in the face, arm or leg are among the most striking signs of the disease.
What are the sequels?
It is not possible to specify what sequels the person suffering from a stroke will have, it all depends on the type of injury, the extent and the area of the brain affected. Among the most common damages are:
- Changes in speech;
- Agnosia visual;
- Memory deficit;
- Lack of sensitivity;
- Motor changes;
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