Cryptogenic stroke: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cryptogenic stroke: management. Holter cardiac monitoring, Cardiac telemetry, Implantable loop recorders. Fully referenced neurology checklist.

Electrophysiological investigations

  • Holter cardiac monitoring
  • Cardiac telemetry
  • Implantable loop recorders
  • Insertable cardiac monitors (ICM)

Vascular investigations

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Other investigations

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Prevention

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References

  1. Zhang C, Kasner S. Diagnosis, prognosis, and management of cryptogenic stroke. F1000Res 2016; 5. pii: F1000 Faculty Rev-168.
  2. Yaghi S, Bernstein RA, Passman R, Okin PM, Furie KL. Cryptogenic stroke: research and practice. Circ Res 2017; 120:527-540.
  3. Yaghi S, Elkind MS. Cryptogenic stroke: a diagnostic challenge. Neurol Clin Pract 2014; 4:386-393. 
  4. Vollmuth C, Stoesser S, Neugebauer H, et al. MR-imaging pattern is not a predictor of occult atrial fibrillation in patients with cryptogenic stroke. J Neurol 2019; 266:3058-3064.
  5. Fonseca AC, Ferro JM, Almeida AG. Cardiovascular magnetic resonance imaging and its role in the investigation of stroke: an update. J Neurol 2021; 268:2597-2604.
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