Treatment guidelines for ASPECT scores
This scale is used in the management of acute ischemic stroke.
- Evaluate early ischemic damage
- Guide to treatment decisions
- Predicts clinical outcomes
- Standardizes research
- Monitors damage progression
- Facilitates medical communication
- Selecting patients for studies
Regions evaluated
- M1 – Anterior cortex of MCA
- M2 – Lateral cortex of MCA over the insula
- M3 – Posterior cortex of MCA
- M4, M5, M6 – Anterior, lateral and posterior MCA territory
- C – Caudate nucleus
- L – Lentiform nucleus
- IC – Internal Capsule
- I – Insular crust
The brain is divided into 10 regions in the territory of the middle cerebral artery.
Each region is scored with 1 point if it appears normal and 0 points if it shows signs of ischemia.
- 10 points (normal brain) 🧠
- 0 (diffuse ischemia) to 10
- ≤7 indicates significant ischemia
TREATMENT GUIDE IN RELATION TO THE ASPECT SCALE
| ASPECT Score: 8 - 10 Ideal candidate for reperfusion therapy High probability of good results with thrombolysis or mechanical thrombectomy. |
| ASPECT Score: 6 - 7 Consider reperfusion therapy Evaluate risk-benefit individually. Possible benefit with mechanical thrombectomy. |
| ASPECT Score: 6 - 7 Consider reperfusion therapy Evaluate risk-benefit individually. Possible benefit with mechanical thrombectomy. Risk of bleeding. |
EN 
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