Ischemic stroke classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Classification

.

Ischemic stroke

Based on duration of onset of symptoms

Based on cause

Transient Ischemic stroke (symptoms lasts <24 hrs)

Acute Ischemic stroke (symptoms lasts >24 hrs)

Chronic ischemic stroke

Thrombotic

Embolic 1.Atrial fibrillation 2.Fat 3.Septic 4.Air 5.Cancer

Vasculitic Giant cell arteritis Takayasu arteritis

Systemic hypoperfusion 1.Myocardial infarction 2.Pulmonary embolism 3.Pericardial effusion 4.Bleeding

TOAST classification 1.Large artery atherosclerosis 2.Cardioembolism 3.Small vessel occlusion 4.Stroke of determined etiology 5.Stroke of undetermined etiology

Arterial thrombosis 1.Carotid artery 2.Vertebral artery 3.Circle of Willis 4.Middle cerbral artery

Venous thrombosis Central venous thrombosis

Large vessel involvement 1.Atherosclerosis 2.Vasculitis 3.Noninflammatory vasculopathy 4.Fibromuscular dysplasia

Small vessel involvement 1.Fibrinoid degeneration 2.Lipohyalinosis 3.Microatheroma