CT-based weighted rating scale for subcortical cerebrovascular disease
Version 2.0 - February
Geroldi et al. In:Korczyn AD ,editor. Proceeding of the 2nd International Congress on Vascular Dementia, 2002, Jan 24-27; Salzburg, Austria. Bologna: Monduzzi editor, 2002. p. 61-3.

 

DATE

SURNAME

NAME

DATE OF CT SCAN

Subcortical hemispheric lesions (number)      help

Right

Left

Fuzzy lesions

Lacunes

Fuzzy lesions

Lacunes

n°< 2 cm n°> 2 cm n°< 2 cm n°> 2 cm n°< 2 cm n°> 2 cm n°< 2 cm n°> 2 cm
Frontal

Temporal

Capsule external and watershed

Parietal

Occipital

Basal ganglia

Internal capsule
Cerebellum
 

  Diffuse white matter hypodensity : extension       help

Right

Left

0

1 2 3 0 1 2 3
abs. doubt C- C+ abs. doubt C- C+
Frontal
Parietal
Occipital

 

Diffuse white matter hypodensity: quality           help

 

Right

Left

0 1 0 1
  Non Patchy Patchy Non Patchy Patchy
Frontal
Parietal
Occipital