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. 2023 Aug 9;2(1):e000407. doi: 10.1136/bmjmed-2022-000407

Figure 7.

Figure 7

Use of pc-ASPECTS (posterior circulation acute stroke prognosis early computed tomography scoring) to assess posterior circulation. There are eight areas of assessment. A point is lost for early ischaemic change in each of thalamic, cerebellar, and occipital lobes; and 2 points lost for pontine and midbrain changes. This image, from Imperial College shows Healthcare Trust, shows a basilar artery stroke with a pc-ASPECTS score of 4 (2 for pontine and 2 for midbrain changes). (A) Ischaemia in bilateral pons. (B) Ischaemia of right hemipons. (C) Ischaemia of right midbrain. (D) No ischaemia in thalamus or occipital lobes. In this assessment, pc-ASPECTS scoring was based on diffusion weighted imaging