Appendix A: National Institutes of Health Stroke Scale Summary

Cerebrovascular Disease p. 444 April 2014, Vol.20, No.2 doi: 10.1212/01.CON.0000446114.43409.7d
APPENDIX
BROWSE ARTICLES
  • 1. Level of consciousness (LOC)
    • 0 alert
    • 1 drowsy
    • 2 stuporus
    • 3 coma
  • 2. LOC questions (month, age)
    • 0 both correct
    • 1 one correct
    • 2 both incorrect
  • 3. LOC commands (close eyes, make a fist)
    • 0 both correct
    • 1 one correct
    • 2 both incorrect
  • 4. Best gaze
    • 0 normal
    • 1 partial gaze palsy
    • 2 forced deviation
  • 5. Visual fields
    • 0 no visual loss
    • 1 partial hemianopsia
    • 2 complete hemianopsia
    • 3 bilateral hemianopsia
  • 6. Facial palsy
    • 0 normal
    • 1 minor
    • 2 partial (lower only)
    • 3 complete (upper and lower)
  • 7–10. Motor left/right arm + leg
    • 0 no drift
    • 1 drifts, not to bed
    • 2 drifts to bed
    • 3 no effort against gravity
    • 4 no movement
    • 9 amputation/joint fusion
  • 11. Limb ataxia (FNF, HKS)
    • 0 absent
    • 1 present in one limb
    • 2 present in two limbs
  • 12. Sensation (pinprick)
    • 0 normal
    • 1 partial loss
    • 2 severe loss
  • 13. Best language
    • 0 no aphasia
    • 1 mild to moderate aphasia
    • 2 severe aphasia
    • 3 mute
  • 14. Dysarthria
    • 0 none
    • 1 mild to moderate
    • 2 near to unintelligible or worse
    • 9 intubated/barrier
  • 15. Extinction and inattention
    • 0 no neglect
    • 1 partial neglect
    • 2 complete neglect

LOC = level of consciousness; FNF = finger-nose-finger; HKS = heel-knee-shin.

© 2014 American Academy of Neurology