National Institutes of Health Stroke Scale

National Institutes of Health Stroke Scale

The National Institutes of Health Stroke Scale (or NIHSS) is a method developed by the National Institutes of Health. It is used to gauge the severity of a stroke.

NIH Stroke Scale

  • 1a. Level of Consciousness (LOC): tests stimulation. Graded from 0-3.
  • 1b. LOC Questions: tests the patient's ability to answer questions correctly. Graded from 0-2.
  • 1c. LOC Commands: tests the patient's ability to perform tasks correctly. Graded from 0-2.
  • 2. Best Gaze: tests horizontal eye movements. Graded from 0-2.
  • 3. Visual: tests visual fields. Graded from 0-3.
  • 4. Facial Palsy: tests the patient's ability to move facial muscles. Graded from 0-3.
  • 5. Motor Arm: tests motor abilities of the arms. Graded from 0-4.
  • 6. Motor Leg: tests motor abilities of the legs. Graded from 0-4.
  • 7. Limb Ataxia: tests coordination of muscle movements. Graded from 0-2.
  • 8. Sensory: tests sensation of the face, arms, and legs. Graded from 0-2.
  • 9. Best Language: tests the patient's comprehension and communication. Graded from 0-3.
  • 10. Dysarthria: tests the patient's speech. Graded from 0-2.
  • 11. Extinction and Inattention: tests patient's recognition of self. Graded from 0-2.

Scores range from 0-42. Patients are given more points for greater deficiencies. A score of "0" indicates that the test is normal.

External links

References


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