الفهرس 
Anatomy of Cerebral Arterial CirculationOnly 14 pages are availabe for public view
 |  | from | 130 |  |  |
| | | from | 130 | | |
Abstract
Background: The Clot Burden Score (CBS) is a CT angiography-based grading system used to assess thrombus burden in acute ischemic stroke patients. CBS is a major determinant of stroke severity and outcome in anterior circulation stroke, offering advantages over invasive angiographic scores.
Aim of the Work: to investigate the prognostic value of CBS in predicting clinical outcomes using the modified Rankin Scale (mRS).
Patients and Methods: Type of study combined prospective and retrospective observational study. Sampling Method purposive sampling according to inclusion and exclusion criteria.
Results: The study included 40 patients with acute ischemic stroke, with a mean age of 58.35 ± 14.82 years. 60% of patients were male, and 40% were female. After 3 months, 17 patients (42.5%) achieved functional independence (mRS ≤ 2), while 23 patients (57.5%) had higher mRS scores (22 functionally dependent and 1 deceased). There was a statistically significant inverse correlation between CBS and mRS scores, indicating that patients with higher CBS scores had lower mRS scores. Receiver Operating characteristic (ROC) curve analysis determined a CBS cutoff value of greater than 6 as predictive of a good prognosis, with high sensitivity and specificity.
Conclusion: The current study shows that CBS is a good predictor of patient outcome. It is a relatively easy and simple method in quantifying clot burden, apart from being systematic. This assists in selection of treatment strategies, and prognosticates patient outcome; and can be incorporated in routine radiological reporting of AIS cases.