Table:
Clinical grading scale | Imaging grading scale | |||
---|---|---|---|---|
WFNS scale | Hunt Hess scale | Modified Fisher scale | SEBES | |
Prediction purpose | Outcome | Outcome | Delayed cerebral ischaemia | Quantify oedema |
Range | 1–5 | 1–5 | 0–4 | 0–4 |
Criteria | ·· | ·· | Quantify location and extent of SAH and IVH | At two levels in each hemisphere: (1) effacement of sulci or (2) disruption of grey-white matter |
Grade | ||||
0 | ·· | ·· | No SAH | ·· |
1 | GCS 15 | Mild headache | Thin SAH, no IVH | ·· |
2 | GCS 13–14, no motor deficit | Moderate to severe headache, cranial nerve palsy, nuchal rigidity | Thin SAH, with IVH | ·· |
3 | GCS 13–14, with motor deficit | Lethargy or confusion, mild focal deficit | Thick SAH, no IVH | ·· |
4 | GCS 7–12 | Stupor, hemiparesis | Thick SAH, with IVH | ·· |
5 | GCS 3–6 | Coma, decerebrate posturing | ·· | ·· |
WFNS=World Federation of Neurological Surgeons. SEBES=subarachnoid hemorrhage early brain oedema score. GCS=Glasgow coma scale. SAH=subarachnoid haemorrhage. IVH=intraventricular haemorrhage.