Embolic Strokes of Unknown Source and Cryptogenic Stroke: Implications in Clinical Practice

作者: Amre Nouh , Mohammed Hussain , Tapan Mehta , Shadi Yaghi

DOI: 10.3389/FNEUR.2016.00037

关键词:

摘要: Up to a third of strokes are rendered cryptogenic or undetermined etiology. This number is specifically higher in younger patients. At times, inadequate diagnostic workups, multiple causes, an under-recognized etiology contributes this statistic. Embolic stroke source, new clinical entity particularly refers patients with embolic for whom the embolism remains unidentified despite through investigations ruling out established cardiac and vascular sources. In article, we review current classification discuss important considerations these patients; highlighting arrhythmias structural abnormalities, patent foramen ovale, paradoxical sources, potentially under-recognized, vascular, inflammatory, autoimmune, hematologic sources relation practice.

参考文章(215)
Shaunagh Mcdermott, George Oliveira, Emel Ergul, Nicholas Brazeau, Stephan Wicky, Rahmi Oklu, May-thurner syndrome: Can it be diagnosed by a single MR venography study? Diagnostic and Interventional Radiology. ,vol. 19, pp. 44- 48 ,(2012) , 10.4261/1305-3825.DIR.5939-12.1
Mark W. Johnson, Martin L. Thomley, Suber S. Huang, J. Donald M. Gass, Idiopathic Recurrent Branch Retinal Arterial Occlusion: Natural History and Laboratory Evaluation Ophthalmology. ,vol. 101, pp. 480- 489 ,(1994) , 10.1016/S0161-6420(94)31309-1
Stefan Kiechl, Benjamin Matosevic, Johann Willeit, Primary Central Nervous System Lymphoma Resulting in Stroke and Leukoencephalopathy Springer, Dordrecht. pp. 29- 39 ,(2012) , 10.1007/978-94-007-5488-1_4
Alvarez-Sabin J, Montaner J, Ribo M, Monasterio J, Chacon P, Arenillas J, Molina C, Role of homocysteine in the acute phase of stroke Neurologia. ,vol. 19, pp. 10- 14 ,(2004)
Paul Calafiore, J M Kalman, Geoffrey A Donnan, Andrew M Tonkin, Elizabeth F Jones, Proximal aortic atheroma : an independent risk factor for cerebral ischemia Stroke. ,vol. 26, pp. 218- 224 ,(1995)
Jonathan W. Weinsaft, Han W. Kim, Dipan J. Shah, Igor Klem, Anna Lisa Crowley, Rhoda Brosnan, Olga G. James, Manesh R. Patel, John Heitner, Michele Parker, Eric J. Velazquez, Charles Steenbergen, Robert M. Judd, Raymond J. Kim, Detection of left ventricular thrombus by delayed-enhancement cardiovascular magnetic resonance prevalence and markers in patients with systolic dysfunction. Journal of the American College of Cardiology. ,vol. 52, pp. 148- 157 ,(2008) , 10.1016/J.JACC.2008.03.041
Ali K. Topaloglu, Grace A. Ashley, Bingzheng Tong, Junaid Shabbeer, Kenneth H. Astrin, Christine M. Eng, Robert J. Desnick, Twenty novel mutations in the alpha-galactosidase A gene causing Fabry disease. Molecular Medicine. ,vol. 5, pp. 806- 811 ,(1999) , 10.1007/BF03401993
Roselind Lieb, Population-Based Study Springer. ,(2012) , 10.1007/978-1-4419-1005-9_45
N Callander, S I Rapaport, Trousseau's syndrome. Western Journal of Medicine. ,vol. 158, pp. 364- 371 ,(1993)