Ay et al listed criteria for the diagnosis of ischemic stroke caused by cardio-arotic embolism. The authors are from Massachusetts General Hospital, Harvard Medical School, UCLA Medical Center, Columbia University and NINDS (of NIH).
Parameters:
(1) source of cardio-aortic emboli
(2) systemic embolism
(3) features of cerebral emboli
(4) other causes
Classic features of cardio-aortic cerebral emboli:
(1) multiple acute infarcts
(2) occurrence within a closely related period of time
(3) involve both right and left OR anterior and posterior circulations
Exclusions:
(1) near or complete occlusive stenosis of cerebral arteries to affected areas
(2) vasculitis
(3) vasculopathies
(4) hemostatic or hemodynamic disturbances
(5) other causes of multifocal ischemic brain injury
Source |
Systemic Emboli |
Cerebral Emboli |
Other Causes |
Diagnosis |
high risk |
NA |
NA |
NA |
evident |
NA |
present |
classic features |
excluded |
probable |
low or uncertain |
present |
NA |
incomplete exclusion |
possible |
where:
• The categories of high, low and uncertain risk sources are discussed in Chapter 06.
Specialty: Neurology
ICD-10: ,