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Distribution, Severity and Radiologic Features of Intracranial Stenosis in Asymptomatic Pakistanis
Ayeesha K Kamal1, Farzin Majeed2, Muhammad S Ilyas3
1Department of Neurology and Stroke Service, Aga Khan University, Pakistan.
Asymptomatic intracranial atherosclerotic disease (ICAD) is common in young Pakistanis, affecting 34.5% of individuals. This condition often impacts the posterior circulation and is linked to periventricular lucencies.
Area of Science:
- Neurology
- Radiology
- Vascular Medicine
Background:
- Intracranial atherosclerotic disease (ICAD) is a leading global cause of ischemic stroke.
- ICAD represents a significant portion of ischemic strokes, particularly in Asian populations.
Purpose of the Study:
- To determine the prevalence of asymptomatic ICAD in a Pakistani population.
- To identify associated findings on Magnetic Resonance Imaging (MRI).
Main Methods:
- 200 adults without stroke symptoms were recruited.
- Participants underwent MRI on a 1.5 Tesla scanner.
- Intracranial arteries were assessed for atherosclerotic disease using specialized software.
Main Results:
- Asymptomatic ICAD was present in 34.5% of subjects.
- The posterior cerebral artery was the most commonly affected vessel.
- Periventricular lucencies were significantly associated with asymptomatic ICAD.
Conclusions:
- Asymptomatic ICAD is prevalent in young Pakistanis, with no gender bias.
- Posterior circulation is preferentially affected by ICAD.
- Silent brain infarcts are less common than other MRI findings like atrophy and periventricular lucencies.
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