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Recent advances in treatment for large-vessel occlusion stroke have relied on validated clinical tools such as the NIH Stroke Scale (NIHSS) score — a stroke severity score that is used for clinical care, clinical research, and risk adjustment — and the ASPECTS score, a tool to measure early infarct signs found on acute noncontrast head computed tomography (CT) scans that has been used for selecting adult patients for stroke thrombectomy. Extending these lessons to childhood stroke would be particularly important because stroke presentations in children are often delayed, which could make similar tools to select children for stroke thrombectomy useful as well. As an early step in assessing whether a radiographic scoring system could be helpf…