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A 10-point topographic CT score of the MCA territory that quantifies the extent of early ischemic changes in anterior circulation stroke. Lower scores reflect greater ischemic burden and predict worse clinical outcome after reperfusion therapy. Used to select patients for IV thrombolysis and mechanical thrombectomy.
C — Caudate Nucleus
L — Lentiform Nucleus (Putamen + Globus Pallidus)
IC — Internal Capsule (Posterior Limb)
I — Insular Ribbon
M1 — Anterior MCA Cortex
M2 — MCA Cortex Lateral to Insula
M3 — Posterior MCA Cortex
M4 — Anterior Superior MCA Cortex
M5 — Lateral Superior MCA Cortex
M6 — Posterior Superior MCA Cortex
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