In an attempt to ascertain whether Lp(a) is a risk factor for multiple
cerebral infarctions (MCI), we have studied 83 patients with proven M
CI and 39 subjects without MCI by computed tomography (CT). Seventy-on
e patients with non-insulin-dependent diabetes mellitus (NIDDM) were i
ncluded: 52 with and 19 without MCI. Serum Lp(a) levels were significa
ntly higher in patients with MCI than in subjects without MCI. There w
ere no differences in serum Lp(a) levels between NIDDM and non-diabeti
c patients with MCI. The logistic regression analysis revealed that Lp
(a) and hypertension were independent risk factors for the cerebral ev
ent. The current study demonstrated that Lp(a) and hypertension are si
gnificant risk factors for multiple cerebral infarctions.