Identification of the ischemic stroke etiology: A step-by-step algorithm. A review

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Abstract

Identification of the ischemic stroke etiology is the most critical task of stroke departments, along with reperfusion therapy and medical rehabilitation. The earliest possible determination of the pathogenetic subtype of stroke facilitates effective secondary prevention, which reduces the risk of early neurological deterioration, relapse, and, in the long term, repeated stroke and other cardiovascular events. In this article, the diagnosis of the stroke cause is presented as a sequence of the following five steps: analysis of clinical clues, analysis of radiological clues, standard diagnostic search, symptom- and focus-oriented search, and exclusion of rare causes.

About the authors

Aleksey A. Kulesh

Vagner Perm State Medical University; City Clinical Hospital №4, Perm

Author for correspondence.
Email: aleksey.kulesh@gmail.com
ORCID iD: 0000-0001-6061-8118

D. Sci. (Med.), Prof.

Russian Federation, Perm; Perm

Dmitry A. Demin

Vagner Perm State Medical University; Moscow Multidisciplinary Clinical Center "Kommunarka"

Email: aleksey.kulesh@gmail.com
ORCID iD: 0000-0003-2670-4172

Cand. Sci. (Med.)

Russian Federation, Perm; Moscow

Sergey A. Mekhryakov

Vagner Perm State Medical University; City Clinical Hospital №4, Perm

Email: aleksey.kulesh@gmail.com
ORCID iD: 0000-0001-5679-4100

Cand. Sci. (Med.)

Russian Federation, Perm; Perm

Nadezhda A. Kayleva

Vagner Perm State Medical University; City Clinical Hospital №4, Perm

Email: aleksey.kulesh@gmail.com

Cand. Sci. (Med.)

Russian Federation, Perm; Perm

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