4. Diagnosis of Stroke Mechanisms and Secondary Prevention

  1. Kevin M. Barrett MD, MSc2 and
  2. James F. Meschia MD3
  1. Kelly D. Flemming MD

Published Online: 7 MAY 2013

DOI: 10.1002/9781118560730.ch4



How to Cite

Flemming, K. D. (2013) Diagnosis of Stroke Mechanisms and Secondary Prevention, in Stroke (eds K. M. Barrett and J. F. Meschia), John Wiley & Sons, Oxford. doi: 10.1002/9781118560730.ch4

Editor Information

  1. 2

    Mayo Clinic, Jacksonville, FL, USA

  2. 3

    Mayo Clinic, Jacksonville, FL, USA

Author Information

  1. Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota

Publication History

  1. Published Online: 7 MAY 2013
  2. Published Print: 22 APR 2013

ISBN Information

Print ISBN: 9780470674369

Online ISBN: 9781118560730



  • secondary stroke prevention;
  • ischemic stroke diagnosis;
  • carotid artery stenosis;
  • cardioembolic stroke;
  • intracranial stenosis


Advances have been made in the acute intervention, treatment, and prevention of cerebral infarction. Advances in treatment are often preceded by advances in diagnostic technology. New procedures are created and older technologies improved. In some cases what we define with new technologies have left us with dilemmas in treatment and an increased complexity of decision making. A sequential approach to the diagnostic evaluation of cerebral infarction and transient ischemic attack (TIA) will help optimize the diagnostic yield, provide information that will alter management, and minimize the cost and potential harm to the patient.