[Cryptogenic stroke management : where are we ?]

Abstract

Cryptogenic stroke is an old definition that designates an ischemic stroke with no identifiable cause. The term of the embolic stroke of undetermined source was then introduced to identify non-lacunar strokes in whom thromboembolism was the likely mechanism. This subgroup of cryptogenic strokes remains heterogeneous with many potential and possibly associated embolic causes. Covert atrial fibrillation is probably less often involved than initially expected, in contrast to intracranial and extracranial atherosclerosis. The cardiologist should be involved in the search of underlying causes of ischemic stroke by helping the neurologist to identify the most likely diagnosis. Further research is necessary to select populations that may benefit from more effective and individualized treatment.

Keywords: accident vasculaire cérébral cryptogénique; accident vasculaire cérébral embolique de cause indéterminée; atherosclerosis; athérosclérose; atrial fibrillation; cryptogenic stroke; embolic stroke of undetermined source; fibrillation auriculaire; foramen ovale perméable; patent foramen ovale; thromboembolie; thromboembolism.