The value and limitations of the Oxford Community Stroke Project classification in the hyperacute phase of cerebral infarction

Originating from a large-scale community-based screening program in the United Kingdom, the Oxford Community Stroke Project (OCSP) classification has become a pivotal tool for categorizing ischemic stroke and guiding clinical decision-making since its inception. In the context of reperfusion therapy for hyperacute cerebral infarction, the integration of the OCSP classification with clinical functional assessment and neuroimaging enables clinicians to rapidly identify stroke subtypes, tailor recanalization strategies, and prognosticate associated complications. This review summarizes the application of the OCSP classification in the diagnosis and management of hyperacute ischemic stroke and discusses how to optimize its utility to provide precision treatment in the modern era of neuroimaging.