The aim of this study was to investigate plaque characteristics and clinical risk factors of intracranial atherosclerotic stroke in young adults. The vessel wall characteristics of plaque and clinical data were compared between young and old patients. Our results showed that maximum vessel wall thickness, narrowest vascular area and vessel wall area of young patients were significantly lower than those of old patients, while the number of young patients with plaque positive remodeling was higher. In addition, the number of young people suffering from hyperhomocysteinemia was significantly higher than that of old patients, while suffering from hypertension was significantly lower.
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