Uncommon causes of ischaemic stroke: how to approach the diagnosis. Issue 1 (21st July 2022)

• Record Type: Journal Article
• Authors: Hurford, Robert; Siripurapu, Rekha; Emsley, Hedley C A; Lovett, Joanna; Werring, David; Punter, Martin Nicholas Michael
• Is Part Of: Practical neurology. Volume 23:Issue 1(2023)
• Page Start: 35
• Page End: 45
• Publication Date: 2022-07-21
• Subjects: VASCULITIS -- STROKE -- CEREBROVASCULAR DISEASE -- CLINICAL NEUROLOGY; Neurology -- Periodicals; 616.8005
• DOI: 10.1136/pn-2022-003449
• Languages: English
• ISSNs: 1474-7758

Abstract

Abstract : Stroke is a common neurological emergency and although most cases are associated with traditional vascular risk factors leading to cerebral ischaemia by well-recognised pathophysiological mechanisms, around 4% of ischaemic strokes are due to rare conditions. These are important to recognise due to their different management, which is often specific and effective, and due to their different prognosis from otherwise cryptogenic ischaemic strokes. We outline a practical approach to identifying uncommon causes of ischaemic stroke by highlighting diagnostic 'red flags' and propose a structured approach to investigating them.