文档介绍：国际卒中的新分类和
卒中亚型一AScO分类方法
天津医科大学第二医院神经科
王纪佐教授
卒中分类
尚无国际统一公认的分类系统
应用最广泛的 TOAST
近年在不断更新
NINDS(the National Institute of Neurological
Disorders and Stroke)
ToAST (Trial of oRG 10172 in Acute Stroke
Treatment Subtype Classification 1993
sss· TOAST
( Ann :58:688-697
CCS-TOAST web-based (Stroke. 2007 38: 2979-2984.)
tinos. org
GENic( the Lausanne Stroke Registry and the
Etude du profil genetique de l' Infarctus
Cerebral study
OCSP classification (Oxfordshire Community
Stroke Project)
Lausanne Stroke Registry
TOAST Classification of Subtypes of
Acute Ischemic stroke
Large-artery atherosclerosis (embolus/thrombosis)
Small-vessel occlusion(lacune)
Cardioembolism(high-risk/medium-risk)
Stroke of other determined etiology
Stroke of undetermined etiology
a. Two or more causes identified
b Negative evaluation
C Incomplete evaluation
TOAST只是缺血性卒中的分类
新卒中分类-2009
x The Classification of stroke subtypes
Cerebrovascular Dis 2009: 27: 493-501
X The A-S-c-o(Phenotypic) Classificati
of str
Cerebrovasc Dis 2009: 27: 502-508
新卒中分类包括两部分
型分类
新卒中
分类
新卒中亚型的分类
THE CLASSIFICATION OF STROKE SUBTYPES
新卒中亚型分【5】大类
1】缺血性
(1】 Ischemic
2】出血性
【2】 Hemorrhagic
【3】蛛网膜下腔出血
3】 Subarachnoid
SAH
hemorrhage, SAH
4】脑静脉血栓形成
4】 Cerebral venous
thrombosis
【5】脊髓卒中
5】 Spinal cord stroke
TIA: a transient episode of neurological
题外语:TA( tissue-based definition
dysfunction caused by focal brain
oTA)也包括脊醚
spinal cord, or retinal ischemia
without acute infarction
:40:2276-2293
新卒中分类【1】【2】类
【1】缺血性和【2】出血性卒中两大类
I2】出血性( Hemorrhagic)
【1】缺血性( Ischemic)
(出血型[ Hypertension-related
( Atherothrombotic)
bral amyloid angiopat
( Extracranial)
.( Intracranial)
(散发性) [Small vessel disease
sporadic)]
( Drugs that
其他止血或血液疾病( Other hemostatic or
( Cardiac embol)
c disorders
( Vascula
,夹层动脉( Dissection)
) Arteriovenous