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. 2017 Aug 7;114(31-32):527–534. doi: 10.3238/arztebl.2017.0527

Table. Stroke etiology based on the TOAST classification—Comparison of young adult with older adult stroke patients.

Macroangiopathy Cardioembolic Microangiopathy Other definite causes Cryptogenic
Young adult
18–55 years
8–28% 5–25%
PFO with/without ASA (5–20%)
Arrhythmias (AF)
Endocarditis
Valve defects
Cardiomyopathy
Cardiac valve tumors
(myxoma / fibroelastoma)
5–19% 20–30%
Dissection (10–25 %)
Vasculitis
Thrombophilia
RCVS/PRES
Moyamoya disease
Hereditary microangiopathies
MELAS/M. Fabry
Paraneoplastic disease
25–50%
>55 years 15–20% 25–35% Atrial fibrillation (AF)(20–30%) Myocardial infarct Valve defects Cardiomyopathy 20–25% <5% 20–35%

AF, atrial fibrillation; ASA, atrial septal aneurysm; MELAS, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes; PFO, patent foramen ovale; PRES, posterior reversible encephalopathy syndrome; RCVS, reversible cerebral vasoconstriction syndrome; TOAST, Trial of ORG 10172 in Acute Stroke Treatment