This study aimed to determine the distribution patterns of acute cerebral infarction (ACI) between young and elderly patients with intracranial large artery stenosis using diffusion-weighted imaging. In total, 69 young patients and 77 elderly patients were included in this study. We found that young patients had significantly higher prevalence of multiple ACI lesions in more than one vascular territory and higher percentage of lesions in both anterior and posterior circulations than elderly patients. Our findings provide new insights in optimizing the etiological diagnosis of cerebrovascular disease for young and elderly patients.
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