ASPECTS

Medical abbreviation · Neurology

ASPECTS
Stands forAlberta Stroke Program Early CT Score
CategoriesMedical

ASPECTS stands for Alberta Stroke Program Early CT Score, a neurology abbreviation.

Ten-point score for early ischemic changes on noncontrast CT in the middle cerebral artery territory: one point is subtracted for each of ten regions showing damage. A score of 10 is normal, and lower scores indicate larger infarcts.

Example: CT ASPECTS 8 with left M1 occlusion; proceed to thrombectomy.

Usage notes

Introduced by Barber and colleagues in 2000. Thrombectomy trials generally required an ASPECTS of 6 or more, but trials published in 2023, such as SELECT2 and ANGEL-ASPECT, found benefit even in patients with large infarcts scoring 3 to 5. The score can also be applied to CT perfusion and MRI diffusion images.

More neurology abbreviations

  • AED – Antiepileptic drug
  • AIS – Acute ischemic stroke
  • ALS – Amyotrophic lateral sclerosis
  • AMS – Altered mental status
  • ASIA – American Spinal Injury Association
  • ASM – Antiseizure medication
  • AVM – Arteriovenous malformation
  • BE-FAST – Balance, Eyes, Face, Arm, Speech, Time
  • CAA – Cerebral amyloid angiopathy
  • cEEG – Continuous electroencephalography
  • CIDP – Chronic inflammatory demyelinating polyneuropathy
  • CIS – Clinically isolated syndrome

See all 131 neurology abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.