Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Clinical Analysis of Stroke Patients: Unveiling ASPECT Scoring in a Case Series

Version 1 : Received: 30 December 2023 / Approved: 2 January 2024 / Online: 3 January 2024 (08:25:47 CET)

How to cite: Soni, Z.; Gami, V.; Teraiya, T.; Shah, S.; Desai, D. Clinical Analysis of Stroke Patients: Unveiling ASPECT Scoring in a Case Series. Preprints 2024, 2024010105. https://doi.org/10.20944/preprints202401.0105.v1 Soni, Z.; Gami, V.; Teraiya, T.; Shah, S.; Desai, D. Clinical Analysis of Stroke Patients: Unveiling ASPECT Scoring in a Case Series. Preprints 2024, 2024010105. https://doi.org/10.20944/preprints202401.0105.v1

Abstract

Introduction:ASPECTS (Alberta Stroke Program Early CT Score) help in detecting early ischemic changes in stroke patients. This scoring system helps in predicting the stroke outcome, treatment options like thrombolysis and prognosis. It is a 10-point scaling system based on anatomical regions supplied by the middle cerebral artery and each point is subtracted for areas with ischemic changes. Aims and objectives:To study the effectiveness of the ASPECTS scoring in the assessment of the anterior and posterior cerebral circulation stroke. Materials and methods:A retrospective study was performed on stroke patients referred to our institute for an NCCT scan. 40 stroke patients with a mean age of 59+/-3 years were selected and patients with intracranial hemorrhage or hemorrhagic transformation of infarct were excluded. Scans were performed on a 128-slice multidetector CT PHILIPS Perspective scanner. The ASPECTS score was determined using standardised axial CT cuts. Result: In this case series study of 40 patients, a total of 28 patients (70%) had a score of 7 or more and these patients had better prognoses with proper treatment and follow-up.The remaining 12 patients (30%) had a score of less than 7 and even with treatment and sequential follow-up, they had no neurological recovery. Conclusion: Thus, it can be concluded that the ASPECTS can be used as a tool for predicting treatment outcomes in stroke patients. A score of 7 or more is associated with a good prognosis.

Keywords

ASPECTS; stroke; ischemic changes; thrombolysis; NCCT scan

Subject

Medicine and Pharmacology, Neuroscience and Neurology

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.