National Institute of Health Stroke Score (NIHSS). This Should Be Completed on All Patients with Stroke to Ensure that the Stroke Deficits are Collected in a Systematic Way and the Less Obvious Signs of Stroke are Not Missed
Level of consciousness | Alert Not alert, but arousable with minor stimuli Not alert, needs repeated stimuli Coma | 0 1 23 |
Level of consciousness questions | Answers both correctly Answers one correctly Answers both incorrectly | 0 12 |
Level of consciousness commands | Performs both correctly Performs one correctly Performs neither correctly | 0 12 |
Best gaze | Normal Partial gaze palsy Forced deviation | 0 12 |
Visual field testing | No visual loss Partial hemianopia Complete hemianopia Bilateral hemianopia | 0 1 23 |
Facial paresis | Normal facial movements Minor paralysis Partial paralysis Complete paralysis of one or both sides | 0 1 23 |
Right arm motor function | No drift Drift Some effort against gravity No effort against gravity No movement | 0 1 2 34 |
Left arm motor function | No drift Drift Some effort against gravity No effort against gravity No movement | 0 1 2 34 |
Right leg motor function | No drift Drift Some effort against gravity No effort against gravity No movement | 0 1 2 34 |
Left leg motor function | No drift Drift Some effort against gravity No effort against gravity No movement | 0 1 2 34 |
Limb ataxia | Absent Present one limb Present two limbs | 0 12 |
Sensory | Normal Mild to moderate loss Severe to total | 0 12 |
Best language | Normal Mild to moderate aphasia Severe aphasia Mute | 0 1 23 |
Dysarthria | Normal Mild to moderate Severe/mute/anarthric | 0 12 |
Extinction/inattention | No abnormality Visual, tactile, auditory or personal inattention Profound hemi inattention of extinction to more than one modality | 0 12 |