Response: We are delighted to notice the growing interest on stroke in young adults. In their study involving 250 patients, Spengos and Vemmos report astonishing similarities between young Finnish1 and Greek2 ischemic stroke patients regarding demographics, risk factor profile, and etiology. Strong evidence supports the protecting effects of Mediterranean diet on cardiovascular diseases,3 but in young adults, with only few having stroke attributable to atherosclerosis, the diet may apparently not play a major role. With regards to those with stroke of other determined etiology, we would, however, expect clear differences between their patients and ours due to genetic and geographic …

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