缺血性卒中的分型—从原始TOAST到ASCO分型

被引：6

作者：

陈培豪 ^{[1
]}

高山 ^{[2
]}

机构：

[1] 台北马偕纪念医院神经科台北科技大学机电科技研究所

[2] 中国医学科学院北京协和医学院,北京协和医院神经内科

来源：

中国卒中杂志 | 2011年 / 6卷 / 05期

关键词：

脑梗死; 分型系统; 病因;

D O I：

暂无

中图分类号：

R743.33 [脑栓塞];

学科分类号：

1002 ;

摘要：

卒中分型是针对各种不同类型缺血性卒中诊断与治疗的基础,对于卒中的基础研究与临床应用也是不可或缺的工具。目前最为广泛使用的分型系统就是急性卒中OrgL10172台疗试验(trialof org10172 in acute stroke treatment,TOAST)分型。随着医学影像技术的进步与流行病学研究的发展,为了更精确的卒中分型,学者陆续提出修订TOAST的版本,因而有基于停止卒中研究(stop strokestudy,SSS)提出的SSS-TOAST与韩国改良-TOAST的产生。而新发展出的ASCO分型系统,在决定最可能卒中分型的同时,也同时保留了其他较不可能病因的信息,因此可能对于卒中复发的预防与研究是很好的工具。迄今仍没有一个十全十美的缺血性卒中分型系统,本研究探讨各个卒中分型系统的特性,分析其在诊断卒中时的优缺点。以此为基础,希望未来能发展出适合中国人的缺血性卒中分型系统。

引用

页码：416 / 422

页数：7

共 15 条

[1]

The Causative Classification of Stroke system: An international reliability and optimization study[J] . E.M. Arsava,E. Ballabio,T. Benner,J.W. Cole,M.P. Delgado-Martinez,M. Dichgans,F. Fazekas,K.L. Furie,K. Illoh,K. Jood,S. Kittner,A.G. Lindgren,J.J. Majersik,M.J. Macleod,W.J. Meurer,J. Montaner,A.A. Olugbodi,A. Pasdar,P. Redfors,R. Schmidt,P. Sharma,A.B. Singhal,A.G. Sorensen,C. Sudlow,V. Thijs,B.B. Worrall,J. Rosand,H. Ay.Neurology . 2010 (14)

[2]

Stroke Subtype Classification to Mechanism-Specific and Undetermined Categories by TOAST, A-S-C-O, and Causative Classification System: Direct Comparison in the North Dublin Population Stroke Study[J] . Stroke . 2010 (8)

[3] Advances in the Diagnosis of Etiologic Subtypes of Ischemic Stroke [J].

Ay, Hakan .

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS, 2010, 10 (01) :14-20

[4]

A Computerized Algorithm for Etiologic Classification of Ischemic Stroke: The Causative Classification of Stroke System[J] . Hakan Ay,Thomas Benner,E Murat Arsava,Karen L. Furie,Aneesh B. Singhal,Matt B. Jensen,Cenk Ayata,Amytis Towfighi,Eric E. Smith,Ji Y. Chong,Walter J. Koroshetz,A Gregory Sorensen.Stroke . 2007 (11)

[5]

Efficacy and adverse effects of cholinesterase inhibitors and memantine in vascular dementia: a meta-analysis of randomised controlled trials[J] . Harish Kavirajan,Lon S Schneider.Lancet Neurology . 2007 (9)

[6]

Interobserver Agreement in the Trial of Org 10172 in Acute Stroke Treatment Classification of Stroke Based on Retrospective Medical Record Review[J] . James F. Meschia,Kevin M. Barrett,Felix Chukwudelunzu,W. Mark Brown,L. Douglas Case,Brett M. Kissela,Robert D. Brown,Thomas G. Brott,Tammy S. Olson,Stephen S. Rich,Scott Silliman,Bradford B. Worrall.Journal of Stroke and Cerebrovascular Diseases . 2006 (6)

[7] An evidence-based causative classification system for acute ischemic stroke [J].

Ay, H ;

Furie, KL ;

Singhal, A ;

Smith, WS ;

Sorensen, AG ;

Koroshetz, WJ .

ANNALS OF NEUROLOGY, 2005, 58 (05) :688-697

[8]

Treatment of vascular dementia—evidence from clinical trials with cholinesterase inhibitors[J] . Timo Erkinjuntti,Gustavo Román,Serge Gauthier.Journal of the Neurological Sciences . 2004 (1)

[9]

The Oxfordshire Community Stroke Project classification: Correlation with imaging, associated complications, and prediction of outcome in acute ischemic stroke[J] . Sean J. Pittock,Dara Meldrum,Orla Hardiman,John Thornton,Paul Brennan,Joan T. Moroney.Journal of Stroke and Cerebrovascular Diseases . 2003 (1)

[10] Improving the reliability of stroke subgroup classification using the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) criteria [J].

Goldstein, LB ;

Jones, MR ;

Matchar, DB ;

Edwards, LJ ;

Hoff, J ;

Chilukuri, V ;

Armstrong, SB ;

Horner, RD .

STROKE, 2001, 32 (05) :1091-1096

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