隐源性中风的罕见病因

S. A. Dreshina, S. N. Yanishevskiy
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引用次数: 0

摘要

脑卒中是世界上导致死亡和残疾的主要原因之一,因此被认为是现代医学的一个重要医疗和社会问题。根据国际多中心研究,缺血性中风是最常见的中风类型。根据研究,三分之一的缺血性中风病例无法确定病因亚型。根据 TOAST 分类,隐源性卒中需要排除其他发病亚型的标准。然而,在临床实践中,做出这一诊断的原因如下:对患者的检查不全面、检测结果阴性、发现两种或两种以上病因。复发性缺血性事件的高发病率和高风险决定了需要进行彻底的诊断搜索,以排除罕见病因,并进行合理的二级预防。
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Rare causes of cryptogenic stroke
Stroke is one of the leading causes of mortality and disability in the world, which is why it is considered a key medical and social problem of modern medicine. According to international multicenter studies, ischemic stroke is the most frequent type of this condition. According to research, the pathogenetic subtype of ischemic stroke cannot be identified in a third of cases. Based on the TOAST classification, cryptogenic stroke requires exclusion of criteria for other pathogenetic subtypes. However, in clinical practice, the reasons for making this diagnosis are as follows: incomplete examination of the patient, negative test results, and identification of two or more causes. The high incidence and risk of recurrent ischemic events determines the need for a thorough diagnostic search in order to exclude rare causes and conduct reasonable secondary prophylaxis.
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