CLINICAL ANALYSIS OF STROKE PATIENTS: UNVEILING ASPECT SCORING IN A CASE SERIES
Main Article Content
Keywords
ASPECTS, stroke, ischemic changes, thrombolysis, NCCT scan
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.
References
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Dr Sahil N. Shah
MD Radiologist, Assistant professor, Department of Radiodiagnosis, Smt. NHL Municipal Medical College, Ahmedabad, India.
Dr. Zarna Shah
MD Pediatrics, Assistant professor, Department of Pediatrics, Smt. NHL Municipal Medical College, Ahmedabad, India.
Dr Saloni N. Shah
MD Pathology, Assistant Professor, Department of Pathology, Smt. NHLMMC, Ahmedabad, India
Dr. Vismit Gami
MBBS, Smt. NHL Municipal Medical College, Ahmedabad, India.
Dr Zeal Soni
MBBS, Smt. NHL Municipal Medical College, Ahmedabad, India
Dr Tushar Teraiya
MD Radiology, Senior Resident Doctor, Department of Radiodiagnosis, Smt. NHL Municipal Medical College, Ahmedabad, India.