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What to Do If You Suffer a Cryptogenic Stroke - Oren Zarif - Cryptogenic Stroke

Writer's picture: Oren ZarifOren Zarif

There are many things to consider when suffering from a cryptogenic stroke. While most strokes are caused by a blood clot, some are mysterious in their causes. If you think you are having one, it is important to know the symptoms and the best way to respond. If you suspect you may have had a cryptogenic stroke, call 911 right away. Your doctor can determine the underlying cause and the best treatment for your condition.

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Prolonged rhythm monitoring may be crucial to identifying this disorder, which can be difficult to diagnose in patients with intermittent atrial fibrillation. While telemetry is commonly used on stroke units, prolonged monitoring may improve the yield of detection. Wearable devices can be used for this purpose, which may be less intrusive and extend monitoring time. In addition, prolonged outpatient monitoring may help identify a patient with cryptogenic stroke. This method can also prevent stroke.

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The Scripps Cryptogenic Stroke Program is located on the La Jolla campus of Scripps Memorial Hospital, which includes the Prebys Cardiovascular Institute, John R. Anderson V Medical Pavilion, and Scripps Clinic. The Scripps Cardiovascular Institute is one of the largest heart care facilities in San Diego, and is the leading center of cardiovascular medicine on the West Coast. If you suspect a cryptogenic stroke, you can use the Risk of Paradoxical Embolism (ROPE) score to help determine whether a PFO is the cause of your stroke.

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Neurologists must balance thoroughness and cost when evaluating a patient with a cryptogenic stroke. An initial evaluation should include a comprehensive neurological examination, ECG monitoring for 24 hours, and cardiac monitoring. In some cases, additional tests, including blood studies, may be necessary to determine a cause of a cryptogenic stroke. The underlying cause should be determined as soon as possible. When in doubt, seek a second opinion. And if your doctor finds an underlying disease, you should consult a second physician or a stroke center.

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A significant portion of ischemic strokes are caused by non-traditional causes, including cardioembolism, small vessel occlusive disease, and atherothrombosis. Unfortunately, not all of them are clearly known. In addition, many are reversible and transitory. It is important to note that most cryptogenic strokes are younger patients with fewer traditional vascular risk factors. You should seek medical attention if you suspect a cryptogenic stroke, as this type of stroke is more likely to recur.

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An underlying condition known as the patent foramen ovale can also cause a cryptogenic stroke. Approximately 25% of ischemic strokes have a cryptogenic etiology. A systematic evaluation of the possible causes of cryptogenic stroke is crucial, because the underlying condition is closely linked to the occurrence of recurrent ischemic stroke. Knowing what causes cryptogenic stroke is important for effective treatment and prevention. A randomized clinical trial showed that percutaneous closure of a PFO reduced the risk of recurrent cryptogenic stroke.

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One study reported an association between age and ischemic stroke in patients with cryptogenic TIA/stroke. However, despite the findings of this study, the risk of ischemic stroke increased with age in both cryptogenic and ischemic TIA/stroke. Although the association was weak, this evidence is still promising. As the age of cryptogenic stroke increases, the risk of a recurrent ischemic stroke also increases.

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There are several studies comparing the effectiveness of a PFO closure for cryptogenic stroke. The RESPECT trial evaluated 148 patients with a PFO and compared it to medical therapy for cryptogenic stroke. The results were favorable for closure, especially when compared to the medical treatment, which included antiplatelet and warfarin therapy. This study has several limitations. The results of this trial are preliminary and should be used with caution.

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Despite its potential benefits, the risk of major bleeding and ischemic recurrence were similar among patients treated with OACs and antiplatelet medication. Further research is necessary to determine whether these drugs are safe for cryptogenic stroke patients and whether they should be prescribed in addition to antiplatelet medications. So, if you suffer from cryptogenic stroke, consider taking a NOAC. Aside from this, a NOAC is associated with fewer side effects compared with antiplatelet drugs.

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