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World J Clin Cases. Jun 16, 2014; 2(6): 201-205
Published online Jun 16, 2014. doi: 10.12998/wjcc.v2.i6.201
Concurrent stenoses: A common etiology of stroke in Asians
Bik Ling Man, Yat Pang Fu
Bik Ling Man, Yat Pang Fu, Division of Neurology, Department of Medicine and Geriatrics, Tuen Mun Hospital, Hong Kong, China
Author contributions: Man BL and Fu YP both contributed to this paper.
Correspondence to: Bik Ling Man, MD, Division of Neurology, Department of Medicine and Geriatrics, Tuen Mun Hospital, 23 Tsing Chung Koon Road, Hong Kong, China. manbikling@gmail.com
Telephone: +852-856-24685111 Fax: +852-856-24569111
Received: October 30, 2013
Revised: February 24, 2014
Accepted: March 11, 2014
Published online: June 16, 2014
Core Tip

Core tip: Concurrent stenoses of extracranial and intracranial vessels are common in Asians, with an incidence that ranges from 10% to 48% in patients with symptomatic cerebrovascular disease. The long-term prognosis of these patients is poor and they are at high risk of further vascular events or death. The purpose of this review is to examine the epidemiology, risk factors, stroke mechanism and genetics of concurrent stenoses and to discuss strategies for treatment.