Intracranial Atherosclerosis in Chinese Young Adult Stroke Patients.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

PubMedID: 24582785

Niu JW, Gao S, Cui LY, Peng B, Zhu YC, Ni J, Zhou LX, Yao M, Xu WH. Intracranial Atherosclerosis in Chinese Young Adult Stroke Patients. J Stroke Cerebrovasc Dis. 2014;.
BACKGROUND
Until now, intracranial atherosclerosis has been less well studied because of its rarity. We sought to investigate the prevalence and risk factors of intracranial atherosclerosis in Chinese young adult stroke patients.

METHODS
We retrospectively reviewed the medical records of consecutive young adult patients with first-ever ischemic stroke at our institution from May 2007 to May 2012. The demographic features and risk factors of intracranial large-artery atherosclerotic (LAA) stroke were analyzed by comparison with other stroke subtypes.

RESULTS
One hundred ninety-seven patients (age 39 ± 9 years, 127 male) were recruited. There were 81 (41%) patients with LAA stroke, including 68 (35%) strokes because of intracranial stenosis. Male gender (P = .001), dyslipidemia (P = .015), smoking (P < .001), hypertension (P < .001), hyperhomocysteinemia (P = .003), and family history of stroke (P = .024) were more common in patients with intracranial LAA stroke than with non-LAA stroke. A high percentage of patients with intracranial LAA stroke had multiple modifiable risk factors (ie, at least 2 of dyslipidemia, hypertension, diabetes mellitus, smoking, and hyperhomocysteinemia), much more than the patients with non-LAA stroke (82% versus 42%, P < .001). Simultaneous multiple modifiable risk factor exposure was the strongest "risk factor" for intracranial LAA stroke, with the adjusted odds ratio of 4.99.

CONCLUSIONS
Intracranial atherosclerosis is highly prevalent in Chinese young stroke patients. Our results suggest that simultaneous exposure to multiple risk factors may contribute to the early development of intracranial atherosclerosis.