Cryptogenic Stroke: To Close a Patent Foramen Ovale or Not to Close?
نویسندگان
چکیده
منابع مشابه
Is closure recommended for patent foramen ovale and cryptogenic stroke? Patent foramen ovale and cryptogenic stroke: to close or not to close? Closure: what else!
A 39-year-old mother of 2 teenage boys complained of severe migraine with aura for 10 years. Otherwise healthy, she suffered an ischemic stroke that rendered her permanently aphasic. Diagnostic evaluation revealed no evidence of atherosclerosis of the carotid arteries or plaques of the ascending aorta and the aortic arch. The ECG showed normal sinus rhythm, and the patient denied any history of...
متن کاملIs closure recommended for patent foramen ovale and cryptogenic stroke? Patent foramen ovale in cryptogenic stroke: not to close.
A quick PubMed search reveals an abundance of editorials, reviews, and opinion pieces on the subject of patent foramen ovale (PFO) management, and this is now the fourth published article on this topic that has adapted William Shakespeare’s classic words from Hamlet to describe the conundrum that faces neurologists, cardiologists, and their patients.1–3 The degree to which this title has been o...
متن کاملPatent foramen ovale and stroke prevention -- to close or not to close: a teachable moment.
Story From the Front Lines A 65-year-old man with a history of chronic obstructive pulmonary disease, hyperlipidemia, and hypertension was seen in clinic for hospital follow-up. He had previously been admitted to the hospital with slurred speech and aphasia and diagnosed as having a left middle cerebral artery ischemic infarct. Tissue plasminogen activator was administered with a positive neuro...
متن کاملPatent Foramen Ovale and Cryptogenic Stroke
To the Editor: The articles by Meier et al.1 and Carroll et al.2 and the corresponding editorial by Messé and Kent3 (March 21 issue) illustrate a major problem in clinical trials. When it is not obvious which of two therapies is better, sufficient numbers of events are essential to reach a conclusion. Performing a prospective, randomized trial is not enough. In the PC Trial (Clinical Trial Comp...
متن کاملPatent Foramen Ovale and Cryptogenic Stroke
Stroke aetiology may be classified according to the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) criteria.2 As per TOAST classification cryptogenic stroke is defined as stroke not attributable to definite cardioembolic source, large artery atherosclerosis or small artery disease. Cryptogenic stroke includes patients with less wellestablished potential causes of cardiac embolism, such as...
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ژورنال
عنوان ژورنال: Journal of Central Nervous System Disease
سال: 2018
ISSN: 1179-5735,1179-5735
DOI: 10.1177/1179573518819476