Embolic strokes of undetermined source: theoretical construct or useful clinical tool?
نویسندگان
چکیده
منابع مشابه
Embolic strokes of undetermined source: the case for a new clinical construct.
Cryptogenic (of unknown cause) ischaemic strokes are now thought to comprise about 25% of all ischaemic strokes. Advances in imaging techniques and improved understanding of stroke pathophysiology have prompted a reassessment of cryptogenic stroke. There is persuasive evidence that most cryptogenic strokes are thromboembolic. The thrombus is thought to originate from any of several well establi...
متن کاملEmbolic Stroke of Undetermined Source
In 2014, the clinical construct of “embolic stroke of undetermined source” (ESUS) was introduced to identify patients with nonlacunar cryptogenic ischemic strokes in whom embolism was the likely stroke mechanism. It was hypothesized that anticoagulants might be more efficacious than antiplatelet agents for secondary stroke prevention in ESUS patients. At the time of the original publication, li...
متن کاملA Case Contradicting the Definition of Embolic Strokes of Undetermined Source: The Necessity of Transesophageal Echocardiography.
Dear Editor, A 44 year-old female patient was admitted via the emergency room with an acute-onset left-sided frontal-temporal headache. The patient’s medical history of migraines and superficial venous thrombosis was significant, but she did not take any regular medications. No history of smoking, excessive alcohol consumption, or drug use was reported, nor any family history of stroke/myocardi...
متن کاملRecurrent Embolic Strokes of Undetermined Source in a Patient with Extreme Lipoprotein(a) Levels
Lipoprotein(a) is a plasma lipoprotein and known cardiovascular risk factor, most recently implicated in the development of high-risk carotid atherosclerotic plaques without significant carotid stenosis. We present a case of a young African-American female with recurrent embolic strokes of undetermined source. After our thorough investigation, we identified the link between a small, irregular p...
متن کاملEmbolic Strokes of Undetermined Source in the Athens Stroke Registry: An Outcome Analysis.
BACKGROUND AND PURPOSE Information about outcomes in Embolic Stroke of Undetermined Source (ESUS) patients is unavailable. This study provides a detailed analysis of outcomes of a large ESUS population. METHODS Data set was derived from the Athens Stroke Registry. ESUS was defined according to the Cryptogenic Stroke/ESUS International Working Group criteria. End points were mortality, stroke ...
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ژورنال
عنوان ژورنال: Therapeutic Advances in Neurological Disorders
سال: 2019
ISSN: 1756-2864,1756-2864
DOI: 10.1177/1756286419851381