ASPECT SCORE AND TRANSCRANIAL DOPPLER FLOW PARAMETERS IN MIDDLE CEREBRAL ARTERY IN ACUTE BRAIN ISCHAEMIA

• Main Authors: Okrój-Lubecka, Julita, Balicki , J, Szurowska , E, Kozera , G
• Format: Web Resource
• Language: English
• Published: Morressier 01.01.2017
• DOI: 10.26226/morressier.5ab8f55fd462b8029238cca6

Background and AimsTranscranial Doppler (TCD) flow parameters assessed with Thrombolysis in Brain Ischaemia (TIBI) score may reflect early brain hypoperfusion. Alberta Stroke Programme early CT score (ASPECT) may also reveal acute brain ischaemia. However, little is known about the relationship between the above parameters. Thus, our goal was to assess the relationship between TCD flow parameters in middle cerebral artery (MCA) and ASPECT score in patients with stroke in MCA territory.MethodMaterials and methods: 80 patients with acute MCA ischemia (66 with stroke, mean age 68 yrs and 14 with TIA mean age 68 yrs) were examined. MCA flow was assessed with TCD and scored with TIBI classification on admission and on the 7th day. ASPECT score was established for the CT performed on admission and after 24 h of follow up (with CT or DW-MRI)ResultsResults: A significant correlation was found between ASPECT and the TIBI scores assessed on admission for both, all patients and only those with stroke (r=0,23; p=0,04 and r=0,28; p=0,02; respectively). In stroke patients, there were also associations between ASPECT score in the follow-up imaging and TIBI score assessed on admission and on the 7th day stroke (r=0,25; p=0,04 and r=0,45; p<0,01; respectively). ConclusionConclusions: ASPECT score is related to TCD flow parameters in the middle cerebral artery stroke, both in hyper- and subacute phase of stroke.