Acute Ischemic Cerebrovascular Syndrome: Diagnostic Criteria

Chelsea S. Kidwell, Steven Warach

Research output: Contribution to journalArticle

117 Citations (Scopus)

Abstract

Background-Existing diagnostic classification systems for cerebrovascular disease are based primarily on clinical impression of temporal features, clinical syndrome, inferred localization, or ischemic mechanism. Diagnostic certainty of the ischemic pathology based on supportive or refuting laboratory or radiological evidence has been of secondary importance. Summary of Comment-Acute ischemic cerebrovascular syndrome (AICS) describes a spectrum of clinical presentations that share a similar underlying pathophysiology: cerebral ischemia. Diagnostic criteria for AICS incorporate prior classification systems and currently available information provided by neuroimaging and laboratory data to define 4 categories ranging from "definite AICS" to "not AICS," which define the degree of diagnostic certainty. Conclusions-Clinical trials testing new treatments for acute ischemic stroke or secondary stroke prevention should limit enrollment to patients with "definite" AICS whenever feasible.

Original languageEnglish (US)
Pages (from-to)2995-2998
Number of pages4
JournalStroke
Volume34
Issue number12
DOIs
StatePublished - Dec 2003

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Stroke
Cerebrovascular Disorders
Secondary Prevention
Brain Ischemia
Neuroimaging
Clinical Trials
Pathology
Therapeutics

Keywords

  • Brain imaging
  • Classification
  • Diagnosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

Cite this

Acute Ischemic Cerebrovascular Syndrome : Diagnostic Criteria. / Kidwell, Chelsea S.; Warach, Steven.

In: Stroke, Vol. 34, No. 12, 12.2003, p. 2995-2998.

Research output: Contribution to journalArticle

Kidwell, Chelsea S. ; Warach, Steven. / Acute Ischemic Cerebrovascular Syndrome : Diagnostic Criteria. In: Stroke. 2003 ; Vol. 34, No. 12. pp. 2995-2998.
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