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. 2022 Oct 27;58(11):1541. doi: 10.3390/medicina58111541

Table 2.

The National Institutes of Health Stroke Scale variants [16,23,32,33,34,35].

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