Stroke in the Elderly

  • Nages Nagaratnam
  • Kujan Nagaratnam
  • Gary Cheuk
Reference work entry


The growing number of older people is at high risk of stroke. Stroke incidence rises with increasing age and in the very old. Several studies have suggested geographical disparities and regional differences. Several studies have shown different risk profiles between the elderly and younger patients. About 50% of the ischaemic strokes are due to atherosclerosis in the large arteries and may follow hypoperfusion or atherogenic embolism. Small vessel disease giving rise to lacunar infarcts amounts to 25%. A further 25% are due to cardiac embolism and the remaining to a number of causes, namely, cryptogenic, arteritis and dissection among others. This chapter reviews the epidemiology and pathophysiology of stroke, its clinical expression diagnosis and management.


Stroke Atherosclerosis Embolism Cerebral infarction Cerebral haemorrhage 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nages Nagaratnam
    • 1
  • Kujan Nagaratnam
    • 1
  • Gary Cheuk
    • 2
  1. 1.The University of SydneyWestmead Clinical SchoolWestmeadAustralia
  2. 2.Rehabilitation and Aged Care ServiceBlacktown-Mt Druitt HospitalMount DruittAustralia

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