TY - JOUR
T1 - An updated definition of stroke for the 21st century
T2 - A statement for healthcare professionals from the American heart association/American stroke association
AU - Sacco, Ralph L.
AU - Kasner, Scott E.
AU - Broderick, Joseph P.
AU - Caplan, Louis R.
AU - Connors, J. J.
AU - Culebras, Antonio
AU - Elkind, Mitchell S.V.
AU - George, Mary G.
AU - Hamdan, Allen D.
AU - Higashida, Randall T.
AU - Hoh, Brian L.
AU - Janis, L. Scott
AU - Kase, Carlos S.
AU - Kleindorfer, Dawn O.
AU - Lee, Jin Moo
AU - Moseley, Michael E.
AU - Peterson, Eric D.
AU - Turan, Tanya N.
AU - Valderrama, Amy L.
AU - Vinters, Harry V.
PY - 2013/7
Y1 - 2013/7
N2 - Despite the global impact and advances in understanding the pathophysiology of cerebrovascular diseases, the term "stroke" is not consistently defined in clinical practice, in clinical research, or in assessments of the public health. The classic definition is mainly clinical and does not account for advances in science and technology. The Stroke Council of the American Heart Association/American Stroke Association convened a writing group to develop an expert consensus document for an updated definition of stroke for the 21st century. Central nervous system infarction is defined as brain, spinal cord, or retinal cell death attributable to ischemia, based on neuropathological, neuroimaging, and/or clinical evidence of permanent injury. Central nervous system infarction occurs over a clinical spectrum: Ischemic stroke specifically refers to central nervous system infarction accompanied by overt symptoms, while silent infarction by definition causes no known symptoms. Stroke also broadly includes intracerebral hemorrhage and subarachnoid hemorrhage. The updated definition of stroke incorporates clinical and tissue criteria and can be incorporated into practice, research, and assessments of the public health.
AB - Despite the global impact and advances in understanding the pathophysiology of cerebrovascular diseases, the term "stroke" is not consistently defined in clinical practice, in clinical research, or in assessments of the public health. The classic definition is mainly clinical and does not account for advances in science and technology. The Stroke Council of the American Heart Association/American Stroke Association convened a writing group to develop an expert consensus document for an updated definition of stroke for the 21st century. Central nervous system infarction is defined as brain, spinal cord, or retinal cell death attributable to ischemia, based on neuropathological, neuroimaging, and/or clinical evidence of permanent injury. Central nervous system infarction occurs over a clinical spectrum: Ischemic stroke specifically refers to central nervous system infarction accompanied by overt symptoms, while silent infarction by definition causes no known symptoms. Stroke also broadly includes intracerebral hemorrhage and subarachnoid hemorrhage. The updated definition of stroke incorporates clinical and tissue criteria and can be incorporated into practice, research, and assessments of the public health.
KW - AHA Scientific Statements
KW - cerebral hemorrhage
KW - cerebral infarction
KW - stroke
KW - subarachnoid hemorrhage
KW - transient ischemic attack
UR - http://www.scopus.com/inward/record.url?scp=84879894202&partnerID=8YFLogxK
U2 - 10.1161/STR.0b013e318296aeca
DO - 10.1161/STR.0b013e318296aeca
M3 - Article
C2 - 23652265
AN - SCOPUS:84879894202
SN - 0039-2499
VL - 44
SP - 2064
EP - 2089
JO - Stroke
JF - Stroke
IS - 7
ER -