Of 71 MMD cases, 29 were AA, 30 CA, 1 Asian, 11 had race coded as unknown. Most were female (68% AA and 73% CA). Mean age of onset was about the same, 34.1 and 35.6 years. The most common symptom was unilateral weakness (23%). AA's had a significantly lower rate of transient ischemic attacks (TIA) compared to CA (7% vs 27%, p=0.049). AA's were noted to have higher rates of weakness (32% vs 13%, p=0.086). 6 patients had intracerebral hemorrhage of which, 5 were AA. Most common risk factor was hypertension which was higher in AA (56% vs 38%). Hyperlipidemia (41% vs 31%) was also higher in AA. Smoking (52% vs 44%), diabetes (24% vs 15%) and coronary artery disease (10% vs 7%) were higher in CA. AA's had significantly higher rates of receiving medical treatment compared to CA's (86% vs 60%, p=0.029) and a lower rate of receiving surgery, which was not significant (32% vs 43%, p=0.38).