Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Region Assessed | Deduction (-1 for ischemia) |
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Ganglionic Level | |
M1 – lateral MCA cortex | -1 |
M2 – anterior MCA cortex | -1 |
M3 – posterior MCA cortex | -1 |
Lentiform nucleus | -1 |
Caudate nucleus | -1 |
Internal capsule | -1 |
Insular cortex | -1 |
Supraganglionic (Centrum Semiovale) Level | |
M4 – lateral MCA cortex | -1 |
M5 – anterior MCA cortex | -1 |
M6 – posterior MCA cortex | -1 |
Final Score | 0 = complete MCA infarction ❌
10 = normal CT ✅ |
- Always review all CT axial slices – not just the “two classic cuts.” - Look for early ischemic signs: loss of grey-white matter differentiation, sulcal effacement, subtle hypodensity. - Prognosis worsens sharply if ASPECTS ≤ 7. - Remember: ASPECTS complements but does not replace clinical judgement + CTA/CT perfusion.