NIH Stroke Scale = 0
Level of consciousness
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(A):
Alert (0)
Not alert (1)
Only reflex / autonomic responses or no responsiveness (2)
(B) Questions: Your age? Current month?
Answers both correctly (0)
Answers one correctly (1)
Answers neither correctly (2)
(C) Commands: Open / close eyes. Grip and release.
Performs both correctly (0)
Performs one correctly (1)
Performs neither correctly (2)
Best gaze
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Normal (0)
Partial gaze palsy (1)
Forced deviation (2)
Vision
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No visual loss (0)
Partial hemianopsia (1)
Complete hemianopsia (2)
Bilateral hemianopsia (blind) (3)
Facial Palsy
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Normal (0)
Minor paralysis (1)
Partial paralysis (2)
Complete paralysis (3)
Motor - Upper extremity
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(A) Left:
No drift (0)
Drift (1)
Some effort against gravity (2)
No effort against gravity (3)
No movement (4)
(B) Right:
No drift (0)
Drift (1)
Some effort against gravity (2)
No effort against gravity (3)
No movement (4)
Motor - Lower extremity
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(A) Left:
No drift (0)
Drift (1)
Some effort against gravity (2)
No effort against gravity (3)
No movement (4)
(B) Right:
No drift (0)
Drift (1)
Some effort against gravity (2)
No effort against gravity (3)
No movement (4)
Limb Ataxia
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Absent (0)
Present in one limb (1)
Present in two limbs (2)
Sensory
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Normal (0)
Mild-moderate sensory loss (1)
Severe or total sensory loss (2)
Language
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No aphasia (0)
Mild-moderate aphasia (1)
Severe aphasia (2)
Mute, global aphasia (3)
Dysarthria
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Normal (0)
Mild-moderate (1)
Severe (2)
Extinction and Inattention
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Normal (0)
Visual, tactile, auditory, spatial, or personal inattention (1)
Profound hemi-inattention or extinction to more than one modality (2)