Clinical and cerebral angiographic study in young adults with diabetic ischemic stroke

Objective To study the clinical and neuroimaging features in young adults with diabetic ischemic stroke.Methods We retrospectively analyzed the clinical data and the features of accessory examination of 23 cases.5 patients underwent high selective cerebral angiographies for the observation of aorta,carotid arteries,vertebral arteries and all intracranial arteries Results The brain MRI found basal ganglia infarctions in 14 cases,brain stem infarctions in 4 cases,lobar infarctions in 4 cases and para-lateralventricular infarction in 1 case.Angiography showed occlusive findings of cerebral arteries in all patients.4 cases of them were found two or more cerebrolvascular lesions,involved anterior and posterior circulation.The internal carotid arteries and middle cerebral arteries are most frequently involved and the internal carotid artery is almost completely occlusion in one case.Conclusions Arteriosclerosis is one of the important factors in the process of pathogenesis.The young patients with diabetic stroke have better outcome that is related to the better collateral circulation.