nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-4-14-21nnp-1203Research ArticleLECTURESЛЕКЦИЯCryptogenic strokeКриптогенный инсультКулешА. А.KuleshA. A.

614990, Пермь, ул. Петропавловская, 26;

614107, Пермь, ул. Ким, 2

26, Petropavlovskaya St., Perm 614990;

2, Kim St., Perm 614107

aleksey.kulesh@gmail.comДробахаВ. Е.DrobakhaV. E.

614990, Пермь, ул. Петропавловская, 26;

614107, Пермь, ул. Ким, 2

26, Petropavlovskaya St., Perm 614990;

2, Kim St., Perm 614107

ШестаковВ. В.ShestakovV. V.

614990, Пермь, ул. Петропавловская, 26

26, Petropavlovskaya St., Perm 614990

ФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава России; ГАУЗ ПК «Городская клиническая больница №4»РоссияAcad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia; City Clinical Hospital FourRussian FederationФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава РоссииРоссияAcad. E.A. Vagner Perm State Medical University, Ministry of Health of RussiaRussian Federation2019071220191141421Copyright © Kulesh A.A., Drobakha V.E., Shestakov V.V., 20192019Кулеш А.А., Дробаха В.Е., Шестаков В.В.Kulesh A.A., Drobakha V.E., Shestakov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1203

The paper considers the epidemiology and general etiological characteristics of cryptogenic stroke (CS). It discusses the concept of embolic stroke with an unknown source of embolism. It also characterizes the most significant causes of CS, such as paroxysmal atrial fibrillation, atrial cardiopathy, aortic atheroma, non-stenotic cerebral atherosclerotic plaques, and malignant neoplasms. The paper describes approaches to the diagnosis and secondary prevention of CS and proposes etiological and neuroimaging diagnostic algorithms for CI. Clinical cases are also presented.

В статье рассматриваются эпидемиология и общая этиологическая характеристика криптогенного инсульта (КИ). Обсуждается концепция эмболического инсульта с неизвестным источником эмболии. Охарактеризованы наиболее значимые причины КИ, такие как пароксизмальная форма фибрилляции предсердий, предсердная кардиопатия, атерома аорты, нестенозирующие атеросклеротические бляшки церебральных сосудов и злокачественные новообразования. Описаны подходы к диагностике и вторичной профилактике КИ, предложены этиологический и нейровизуализационный диагностические алгоритмы при КИ. Представлены также клинические наблюдения.

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The authors declare that there are no conflicts of interest present.