Table 2.
National Institutes of Health Stroke Scale (NIHSS) [20].
Question | Response Score |
---|---|
1a. Level of consciousness | 0= alert, 1=not alert, 2 = obtunded, 3 = unresponsive |
1b. Level of consciousness questions | 0 = answers both questions correctly, 1= answers one question correctly, 2 = answers neither correctly |
1b. Level of consciousness commands | 0 = performs both tasks correctly, 1 = performs one task correctly 2 = performs neither task correctly |
2. Gaze | 0 = normal, 1 = partial gaze palsy, 2 = total gaze palsy |
3. Visual fields | 0 = no visual loss, 1= partial hemianopsia, 2 = complete hemianopsia, 3 = bilateral hemianopsia |
4. Facial palsy | 0 = normal, 1 = minor paralysis, 2 = partial paralysis, 3 = complete paralysis |
5. Motor arm (a) Left (b) Right |
0 = no drift, 1 = drifts before 5s, 2 = falls before 10s, 3 = no effort against gravity, 4 = no movement |
6. Motor leg (a) Left (b) Right |
0 = no drift, 1= drifts before 5s, 2 = falls before 10s, 3 = no effort against gravity, 4 = no movement |
7. Ataxia | 0 = Absent, 1 = 1 limb, 2 = 2 limbs |
8. Sensory | 0 = normal, 1= mild loss, 2 = severe loss |
9. Language | 0 = normal, 1 = mild aphasia, 2 = severe aphasia, 3 = mute or global aphasia |
10. Dysarthria | 0 = normal, 1= mild, 2 = severe |
11. Extinction/inattention | 0 = normal, 1= mild, 2 = severe |