Considerations When Subtyping Ischemic Stroke in Asian Patients

Abstract

Both the incidence and prevalence of stroke in Asia are steadily increasing, and the burden of stroke is particularly high in Asian countries. Although strokes in Asians and Caucasians share many common features, there are some differences that are probably due to differences in lifestyle and genetic background. While there have been advances in the stroke classification system, the assignment of Asian stroke patients to etiological categories has received little attention. The current classification system may not be well suited to Asian patients with ischemic stroke because the proportions and relative importance of stroke subtypes may differ with race and ethnicity. This review addresses concerns about the use of the current stroke classification system in Asian patients with ischemic stroke, and proposes a classification system that is more specific to the Asian population, in conjunction with discussing advances in diagnostic techniques.

Blood–brain barrier breakdown in reversible cerebral vasoconstriction syndrome: Implications for pathophysiology and diagnosis

“…47,48 However, it is unclear whether BBB integrity differs among different ethnicities. First, all our study subjects were from a single ethnicity (ie, Asian).…”

“…A common genetic susceptibility for intracranial vascular disorders has been suggested in East Asians. 47,48 However, it is unclear whether BBB integrity differs among different ethnicities. Further studies should be conducted in different ethnic populations.…”

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