Open AccessPatent foramen ovale and embolic cryptogenic stroke
Author(s) -
А. А. Кулеш,
В. В. Шестаков
Publication year - 2019
Publication title -
nevrologiâ, nejropsihiatriâ, psihosomatika
Language(s) - English
Resource type - Journals
eISSN - 2310-1342
pISSN - 2074-2711
DOI - 10.14412/2074-2711-2019-2-4-11
Subject(s) - patent foramen ovale , paradoxical embolism , medicine , stroke (engine) , cardiology , percutaneous , foramen ovale (heart) , neuroimaging , occlusion , cerebral embolism , embolism , radiology , intensive care medicine , mechanical engineering , psychiatry , engineering
The paper considers the actual problem of cryptogenic stroke and patent foramen ovale (PFO). It highlights the issues of pathogenesis and role of paradoxical embolism in the development of cerebral circulation disorders. The features of clinical manifestations and neuroimaging pattern of stroke in the presence of PFO are described. Ultrasound diagnostic techniques used to verify a cardiac anomaly are characterized. Approaches to establishing a cause-and-effect relationship between the presence of PFO and the development of stroke are presented. The current possibilities of secondary prevention in this category of patients, in particular the results of studies of percutaneous PFO occlusion, are discussed.