Loeb and Gandolfo developed a Modified Ischemic Score (MIS) based on the Ischemic Score of Hachinski et al. It includes 4 items from the original Ischemic Score with the addition of CT scan findings. The authors were from the University of Genova in Italy.
Parameters:
(1) onset
(2) history of stroke
(3) symptoms
(4) signs
(5) CT low density areas
|
Parameter |
Finding |
Points |
|
onset |
abrupt |
2 |
|
|
not abrupt |
0 |
|
history of stroke |
present |
1 |
|
|
absent |
0 |
|
focal symptoms |
present |
2 |
|
|
absent |
0 |
|
focal signs |
present |
2 |
|
|
absent |
0 |
|
low density areas on CT scan |
none |
0 |
|
|
isolated |
2 |
|
|
multiple |
3 |
modified ischemic score =
= SUM(points for the 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
|
Modified Ischemic Score |
Diagnosis |
|
0 –2 |
senile dementia of the Alzheimer type |
|
3 – 4 |
indeterminate or mixed |
|
5 – 10 |
multiple infarct dementia |
Specialty: Neurology
ICD-10: ,
