STROKE

Classification
TIA

RIND
RIND
Formerly
Formerly
SIE
SIE

Based on clinical
Based on clinical Complete
Complete
appearance and d Stroke
d Stroke
temporal profile
temporal profile
Improvin
Improvin
g Stroke
g Stroke
Worsenin
Worsenin
D1

Recently
Recently g Stroke
g Stroke
Stroke Based on Infarctio Stable
Classification Pathologic
Pathologic n Stroke
Siti Fairuz Nadya

Appearance n Stroke
Appearance
Hemorrh
Hemorrh
age
age

Carotid System
Carotid System
Based on
Vascular
Vascular
Location Vertebrobasiler
Vertebrobasiler
System

Definition of Stroke Brain

dysfunction, sadden and
very rapid development of
symptoms, focal or global,
caused by only primary
cerebrovascular disease
which persistence of the
neurological deficit for
longer than 24 hours or die.

1
Based on Clinical Appearance and Temporal Profile
1. Formerly
a. TIA (Transient Ischemic Attack)
It is a focal syndrome that reverses itself entirely and dramaticallyover a period of minutes or up
to an hour.
Duration of deficits usually 2 15 minutes. Sometimes as long as 24 h.
ABCDs of TIAs
Age > 60 = 1 pt
BP > 140/90 = 1
D1
Siti Fairuz Nadya

Risk of early
stroke

Score
3: 0%
4: 1-9%
5: 12%
6: 24-

2
 Clinical Features
Unilateral weakness = 2
Isolated speech deficit = 1
Other = 0
Duration
> 60 minutes = 2
10-59 minutes = 1
< 10 minutes = 0

b. RIND (Reversible Ischemic Neurological Deficit)

Complete recovery of neurologic deficit > 24 h and < 3 weeks.
D1
Siti Fairuz Nadya

3
 Divided into :
1. Smooth worsening getting worse gradually.
2. Steplike worsening stairs like progressivity (phase without improvement).
3. Fluctuating worsening progressivity period (getting worse) accompanied or started by
improvement.

c. SIE (Stroke in Evolution or progressing stroke)

A preliminary, unstable stage in stroke syndrome in which the blockage is present but the
syndrome has not progressed to the stage of completed stroke.
Stroke with neurological deficits that continue to worsen for hours or days after onset.
d. Completed Stroke
Stroke syndrome reflecting the infarction of the vascular territory that is put at risk by a stenosis
D1
Siti Fairuz Nadya

4
 a. Improving Stroke
b. Worsening Stroke
c. Stable Stroke
D1
Siti Fairuz Nadya

5
Based on Pathologic
Appearance

1. Infarction
2. Hemorrhage
D1
Siti Fairuz Nadya

6
7
Siti Fairuz Nadya D1