ASPECTS and Other Neuroimaging Scores in the Triage and Prediction of Outcome in Acute Stroke Patients

Menon, Bijoy K; Puetz, Volker; Kochar, Puneet; Demchuk, Andrew M.

doi:10.1016/j.nic.2011.01.007

Cited by 65 publications

(41 citation statements)

References 84 publications

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“…The medical literature reports that low ASPECTS values were correlated with a high NIHSS score and a reduced long-term functional capacity 14,15,16 .…”

Section: Discussionmentioning

confidence: 99%

Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment

Luvizutto

Gabriel

Braga

et al. 2015

Arq. Neuro-Psiquiatr.

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Objective To investigate the correlation between the Alberta Program Early CT Score (ASPECTS) and the Scandinavian Stroke Scale (SSS) for the evaluation of neurological impairment in patients with acute stroke. Method 59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were evaluated by 2 neurologists at admission and by another neurologist after 48 hours. The NIHSS and SSS was applied to determinate stroke severity. Correlations and agreements were analysed statistically by Spearman and Kappa tests. Results ASPECTS was correlated with National Institute of Health Stroke Scale (NIHSS) at admission (r = -0.52; p < 0.001) and SSS (r = 0.50; p < 0.001). The ASPECTS and SSS items were most correlated with arm (r = 0.52; p < 0.001) and hand (r = 0.49; p < 0.001) motor power, and speech (r = 0.51; p < 0.001). The SSS of 25.5 shows sensitivity (68%) and specificity (72%) when associated with ASPECTS ≤ 7. Conclusion The SSS can predict worst neurological impairment when associated with lower values of ASPECTS.

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“…The medical literature reports that low ASPECTS values were correlated with a high NIHSS score and a reduced long-term functional capacity 14,15,16 .…”

Section: Discussionmentioning

confidence: 99%

Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment

Luvizutto

Gabriel

Braga

et al. 2015

Arq. Neuro-Psiquiatr.

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“…3 If a significant core of ischemic tissue is present on initial imaging, the outcome of the patient will be poor despite aggressive therapy. 46,47 Reperfusion in a patient with significant ischemic core is doubly unhelpful. First, the dead infarct cannot be helped by reperfusion and second, reperfusion increases the chance of spontaneous intracranial hemorrhage (SICH).…”

Section: Selection Based On Imagingmentioning

confidence: 99%

Endovascular Therapy for Ischemic Stroke

Berkhemer¹,

Majoie²,

Dippel³

2015

N Engl J Med

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The utility of intravenous tissue plasminogen activator (IV t-PA) in improving the clinical outcomes after acute ischemic stroke has been well demonstrated in past clinical trials. Though multiple initial small series of endovascular stroke therapy had shown good outcomes as compared to IV t-PA, a similar beneficial effect had not been translated in multiple randomized clinical trials of endovascular stroke therapy. Over the same time, there have been parallel advances in imaging technology and better understanding and utility of the imaging in therapy of acute stroke. In this review, we will discuss the evolution of endovascular stroke therapy followed by a discussion of the key factors that have to be considered during endovascular stroke therapy and directions for future endovascular stroke trials.

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“…1 ASPECTS on noncontrast CT is widely used for the assessment of early ischemic changes, and its prognostic value has already been established, 2 though with poor NCCT sensitivity. 3 Recent randomized controlled trials on endovascular stroke therapy (ET) have been based on strict inclusion criteria, leading to treatment of only those patients with high CT ASPECTS indicating smaller infarct burden. [4][5][6] Many attempts have been made to understand which patients are likely to undergo futile reperfusion.…”

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confidence: 99%

CT Angiography ASPECTS Predicts Outcome Much Better Than Noncontrast CT in Patients with Stroke Treated Endovascularly

Sallustio¹,

Motta

Pizzuto³

et al. 2017

AJNR Am J Neuroradiol

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ASPECTS and Other Neuroimaging Scores in the Triage and Prediction of Outcome in Acute Stroke Patients

Cited by 65 publications

References 84 publications

Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment

Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment

Endovascular Therapy for Ischemic Stroke

CT Angiography ASPECTS Predicts Outcome Much Better Than Noncontrast CT in Patients with Stroke Treated Endovascularly

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