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AHA/ASA Early Management of Acute Ischemic Stroke 2026

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16 Emergency Evaluation and Treatment Figure 2. ASPECTS: Alberta Stroke Program Early CT Score CT indicates computed tomography; and MCA, middle cerebral artery. Caudate Putamen Internal capsule Insular cortex Anterior MCA cortex (frontal operculum) Lateral MCA cortex (lateral to insular ribbon - anterior temporal lobe) Posterior MCA cortex (posterior temporal lobe) Thalami (1 point each) Occipital lobes (1 point each) Basal ganglia level Thalami level Anterior MCA territories Posterior circulation territories

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