Toast classification in acute ischemic stroke
Last revised by Jeremy Jones on 27 Jul 2022
Citation, DOI, disclosures and article data
Citation:
Bhuta S, Jones J, Toast classification in acute ischemic stroke. Reference article, Radiopaedia.org (Accessed on 01 Dec 2023) https://doi.org/10.53347/rID-13402
Permalink:
rID:
13402
Article created:
6 Apr 2011, Sandeep Bhuta
Disclosures:
At the time the article was created Sandeep Bhuta had no recorded disclosures.
View Sandeep Bhuta's current disclosuresLast revised:
27 Jul 2022, Jeremy Jones ◉
Disclosures:
At the time the article was last revised Jeremy Jones had the following disclosures:
- Radiopaedia Events Pty Ltd, Jeremy is a director of Radiopedia Events Pty Ltd (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Jeremy Jones's current disclosuresRevisions:
2 times, by 1 contributor - see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Toast classification system in acute ischemic stroke
The TOAST (trial of ORG 10172 in acute stroke treatment) classification denotes five sub types of ischemic stroke.
- large-artery atherosclerosis (embolus / thrombosis)*
- cardioembolism (high-risk / medium-risk)*
- small-vessel occlusion (lacune)*
- stroke of other determined etiology *
- stroke of undetermined etiology
It is thought to carry good inter observer agreement and predict prognosis, outcome, and management
References
- 1. Goldstein LB, Jones MR, Matchar DB et-al. Improving the reliability of stroke subgroup classification using the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) criteria. Stroke. 2001;32 (5): 1091-8. Stroke (full text) - Pubmed citation
- 2. Adams HP, Bendixen BH, Kappelle LJ et-al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke. 1993;24 (1): 35-41. Stroke (link) - Pubmed citation
Related articles: Stroke and intracranial haemorrhage
-
stroke and intracranial hemorrhage
- general articles
-
ischemic stroke
- general discussions
- scoring and classification systems
- signs
- by region
- hemispheric infarcts
- frontal lobe infarct
- parietal lobe infarct
- temporal lobe infarct
- occipital lobe infarct
- alexia without agraphia syndrome: PCA
- cortical blindness syndrome (Anton syndrome): top of basilar or bilateral PCA
- Balint syndrome: bilateral PCA
- lacunar infarct
-
thalamic infarct
- Déjerine-Roussy syndrome (thalamic pain syndrome): thalamoperforators of PCA
- top of the basilar syndrome
- striatocapsular infarct
- cerebellar infarct
-
brainstem infarct
- midbrain infarct
- Benedikt syndrome: PCA
- Claude syndrome: PCA
- Nothnagel syndrome: PCA
- Weber syndrome: PCA
- Wernekink commissure syndrome
- pontine infarct
- Brissaud-Sicard syndrome
- facial colliculus syndrome
- Gasperini syndrome: basilar artery or AICA
- inferior medial pontine syndrome (Foville syndrome): basilar artery
- lateral pontine syndrome (Marie-Foix syndrome): basilar artery or AICA
- locked-in syndrome: basilar artery
- Millard-Gubler syndrome: basilar artery
- Raymond syndrome: basilar artery
- medullary infarct
- Babinski-Nageotte syndrome
- Cestan-Chenais syndrome
- hemimedullary syndrome (Reinhold syndrome)
- lateral medullary stroke syndrome (Wallenberg syndrome)
- medial medullary syndrome (Déjerine syndrome)
- Opalski syndrome
- midbrain infarct
- acute spinal cord ischemia syndrome
- hemispheric infarcts
- by vascular territory
- treatment options
- complications
-
intracranial hemorrhage
-
intra-axial hemorrhage
- signs and formulas
- ABC/2 (volume estimation)
- black hole sign
- blend sign
- cashew nut sign
- CTA spot sign
- island sign
- swirl sign
- by type
- by location
- signs and formulas
- extra-axial hemorrhage
-
intra-axial hemorrhage