SSS-TOAST(PPTshare)综述.pptVIP

马偕纪念医院神经科 陈培豪医师 *;前言;早期的卒中分型系统;理想的卒中分型系统应该是;经典TOAST卒中分型的优缺点;Extracranial large artery atherosclerosis(LAAec) Intracranial large artery atherosclerosis (LAAic) High-risk cardioembolism (CH) Medium-risk cardioembolism (CM) Small vessel occlusion (SVO) Other etiology (OTH) No etiology (NA) Multiple probable or multiple possible etiology (MPA);1993年TOAST分类认为 CT/MRI显示大脑皮质、皮质下、小脑或脑干大于1.5公分的病灶需考虑大动脉粥样硬化(Large-artery atherosclerosis)。 CT/MRI影像上大动脉粥样硬化和心源性脑栓塞无法区分。 CT/MRI显示正常或是病灶小于1.5公分考慮小血管闭塞(Small-vessel occlusion; lacune)。;单一病灶的部位及大小;多发病灶的部位;主要作者Hakan Ay, MD;SSS-TOAST的简介;SSS-TOAST与经典TOAST不同之处;SSS-TOAST缺血性卒中分型;SSS-TOAST诊断流程图;SSS-TOAST ---Large Artery Atherosclerosis大动脉粥样硬化;名词解释;名词解释;内侧分水岭梗死(Internal border-zone infarction);SSS-TOAST ---Cardioaortic Embolism主动脉弓及心源性脑栓塞;Original TOAST Classification of High- and Medium-Risk Sources of Cardioembolism;SSS-TOAST Classification of High- and Medium-Risk Sources of Cardioembolism;SSS-TOAST与经典TOAST不同之处 ---心源性脑栓塞---;名词解释;SSS-TOAST--- Small Artery Occlusion小动脉闭塞;名词解释;SSS-TOAST --- Other causes其它病因;SSS-TOAST --- Undetermined Causes病因不明;CCS-TOAST--- Supra-aorticLarge Artery Atherosclerosis 主动脉上大动脉粥样硬化;CCS-TOAST ---Cardio-aortic Embolism主动脉弓及心源性脑栓塞;CCS-TOAST--- Small Artery Occlusion小动脉闭塞;CCS-TOAST --- Other Uncommon Causes其它病因;CCS-TOAST --- Undetermined Causes病因不明;;CCS-TOAST的诊断流程;案例;;临床的评估;脑部影像学检查;脑部血管的影像检查;心脏的评估;少见病因的评估;Causative分型： 极可能动脉弓上大动脉粥样硬化 Supra-aortic large artery atherosclerosis probable Phenotypic分型： LAA major + CE major + SAO absent + Other absent;SSS-TOAST诊断流程图;结论SSS- (CCS-)TOAST的优缺点;谢谢各位聆听与参与