Table 2.
Scale/Evaluation of | NIHSS (0–42) | sNIHSS-EMS (0–29) | mNIHSS (0–31) |
---|---|---|---|
1a. Level of Consciousness | 0 = Alert; responsive 1 = Not alert; somnolent 2 = Not alert; soporose 3 = Comatose |
0 = Alert; responsive 1 = Not alert; somnolent 2 = Not alert; soporose 3 = Comatose |
|
1b. Level of Consciousness Questions (month/age) |
0 = Both answers correct 1 = One answer correct 2 = Neither answer correct |
0 = Both answers correct 1 = One answer correct 2 = Neither answer correct |
|
1c. Level of Consciousness Commands (closing eyes/hand grip) |
0 = Performs both tasks correctly 1 = Performs one task correctly 2 = Performs neither task correctly |
0 = Performs both tasks correctly 1 = Performs one task correctly 2 = Performs neither task correctly |
|
2. Best Gaze | 0 = Normal 1 = Partial gaze palsy 2 = Total gaze palsy |
0 = Normal 1 = Partial gaze palsy 2 = Total gaze palsy |
|
3. Visual | 0 = No visual loss 1 = Partial hemianopia 2 = Complete hemianopia 3 = Bilateral hemianopia (blind including cortical blindness) |
0 = No visual loss 1 = Partial hemianopia 2 = Complete hemianopia 3 = Bilateral hemianopia (blind including cortical blindness) |
|
4. Facial Palsy | 0 = Normal 1 = Minor paralysis 2 = Partial paralysis 3 = Complete paralysis |
0 = Normal 1 = Minor paralysis 2 = Partial paralysis 3 = Complete paralysis |
|
5. Motor Arm (10 s) 5a—left 5b—right |
0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity, limb falls 4 = No movement UN = Amputation or joint fusion |
0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity, limb falls 4 = No movement UN = Amputation or joint fusion |
0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity, limb falls 4 = No movement UN = Amputation or joint fusion |
6. Motor Leg (5 s) 6a—left 6b—right |
0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity limb falls 4 = No movement UN = Amputation or joint fusion |
0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity, limb falls 4 = No movement. UN = Amputation or joint fusion |
0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity, limb falls 4 = No movement UN = Amputation or joint fusion |
7. Limb Ataxia | 0 = Absent 1 = Present in one limb 2 = Present in two limbs UN = Amputation or joint fusion |
||
8. Sensory | 0 = Normal 1 = Mild-to-moderate sensory loss 2 = Severe-to-total sensory loss |
0 = Normal 1 = Mild-to-moderate sensory loss 2 = Severe-to-total sensory loss |
0 = Normal 1 = Mild-to-moderate sensory loss 2 = Severe-to-total sensory loss |
9. Best Language | 0 = No aphasia 1 = Mild-to-moderate aphasia 2 = Severe aphasia 3 = Mute, global aphasia |
0 = No aphasia 1 = Mild-to-moderate aphasia 2 = Severe aphasia 3 = Mute, global aphasia |
0 = No aphasia 1 = Mild-to-moderate aphasia 2 = Severe aphasia 3 = Mute, global aphasia |
10. Dysarthria | 0 = Normal 1 = Mild-to-moderate dysarthria 2 = Severe dysarthria UN = Intubated or other physical barrier |
0 = Normal 1 = Mild-to-moderate dysarthria 2 = Severe dysarthria UN = Intubated or other physical barrier |
|
11. Extinction and Inattention (formerly Neglect) | 0 = No abnormality 1 = Mild 2 = Severe |
0 = No abnormality 1 = Mild 2 = Severe |