Table 1.

VAN score

Vision-Aphasia-Neglect scoring
Motor drift	Mild (minor drift)
How weak is the patient? (assess with both arms lifted to shoulder level, palm facing upwards)	Moderate (arm touches or nearly touchesthe ground) Severe (flaccid/no antigravity) Patient shows no weakness. VAN-NEGATIVE
Visual disturbance	Field cut (which side) test all 4 quadrants Double vision New-onset blindness None
Aphasia	Expressive – ask patient to repeat and name two objects Receptive – follow commands Mixed None
Neglect	Forced gaze or inability to track to one side Unable to feel both sides at the same time or unable to identify own arm Ignoring one side None

Patient must have motor weakness plus one/all of the V, A, N to be VAN POSITIVE