Amatangelo Mary P
Neurology, Stroke, Neurocritical Care, Brigham and Women's Hospital, 15 Francis Street, BB 335, Boston, MA 02115, USA.
Crit Care Nurs Clin North Am. 2020 Mar;32(1):37-50. doi: 10.1016/j.cnc.2019.11.008.
Despite advances in understanding the cause of ischemic stroke, cryptogenic stroke remains a diagnostic and therapeutic challenge for clinicians. Approximately 15% to 40% of all ischemic strokes have no identifiable cause. CS is a diagnosis of exclusion after completing the standard stroke work-up. Further investigation needs to be tailored individually according to results of the clinical evaluation so appropriate secondary prevention strategies can be applied.
尽管在理解缺血性中风病因方面取得了进展,但隐源性中风对临床医生来说仍然是一个诊断和治疗挑战。在所有缺血性中风中,约15%至40%没有可识别的病因。隐源性中风是在完成标准的中风检查后通过排除法做出的诊断。需要根据临床评估结果进行个体化的进一步检查,以便应用适当的二级预防策略。