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