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Besides bedside screening tools, brain imaging findings may help to timely identify patients with swallowing disorders. We investigated whether the <jats:italic>Alberta stroke program early CT score<\/jats:italic> (ASPECTS) allows for the correlation of distinct ischemic lesion patterns with dysphagia. We prospectively examined 113 consecutive patients with acute MCA infarctions. Fiberoptic endoscopic evaluation of swallowing (FEES) was performed within 24\u00a0h after admission for validation of dysphagia. Brain imaging (CT or MRI) was rated for ischemic changes according to the ASPECT score. 62 patients (54.9%) had FEES-proven dysphagia. In left hemispheric strokes, the strongest associations between the ASPECTS sectors and dysphagia were found for the lentiform nucleus (odds ratio 0.113 [CI 0.028\u20130.433; <jats:italic>p<\/jats:italic>\u2009=\u20090.001), the insula (0.275 [0.102\u20130.742]; <jats:italic>p<\/jats:italic>\u2009=\u20090.011), and the frontal operculum (0.280 [CI 0.094\u20130.834]; <jats:italic>p<\/jats:italic>\u2009=\u20090.022). A combination of two or even all three of these sectors together increased relative dysphagia frequency up to 100%. For right hemispheric strokes, only non-significant associations were found which were strongest for the insula region. The distribution of early ischemic changes in the MCA territory according to ASPECTS may be used as risk indicator of neurogenic dysphagia in MCA infarction, particularly when the left hemisphere is affected. However, due to the exploratory nature of this research, external validation studies of these findings are warranted in future.<\/jats:p>","DOI":"10.1007\/s00455-020-10204-0","type":"journal-article","created":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T17:02:56Z","timestamp":1604682176000},"page":"882-890","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Ischemic Lesion Location Based on the ASPECT Score for Risk Assessment of Neurogenic Dysphagia"],"prefix":"10.1007","volume":"36","author":[{"given":"Sriramya","family":"Lapa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Foerch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver C.","family":"Singer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elke","family":"Hattingen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9236-2196","authenticated-orcid":false,"given":"Sebastian","family":"Luger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,11,6]]},"reference":[{"issue":"3","key":"10204_CR1","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1159\/000228711","volume":"28","author":"T Warnecke","year":"2009","unstructured":"Warnecke T, Ritter MA, Kroger B, Oelenberg S, Teismann I, Heuschmann PU, Ringelstein EB, Nabavi DG, Dziewas R. 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Outside the submitted work, Dr. Foerch reports personal fees from Boehringer Ingelheim, personal fees from Prediction Bioscience and personal fees from Bristol Myers Squibb. In addition, Dr. Foerch has a patent \u201cGFAP for identification of intracerebral hemorrhage\u201d licensed to Banyan Biomarkers. Outside the submitted work, Dr. Luger reports consultancy fees from Sonovum GmbH. All other authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the ethics committee of the Goethe University Hospital Frankfurt and was conducted according to the principles of the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"All patients, resp. their legal representatives, gave their informed consent prior to their inclusion in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}},{"value":"All authors agreed with the content of the manuscript and gave explicit consent to submit the work to the journal \u201cDysphagia\u201d. The authors obtained consent from the responsible authorities at the institutes where the work has been carried out.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}