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. Author manuscript; available in PMC: 2023 Sep 10.
Published in final edited form as: Lancet. 2022 Aug 16;400(10355):846–862. doi: 10.1016/S0140-6736(22)00938-2

Table:

Clinical and imaging scales

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.