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Table 18-1

Grading Scales for Subarachnoid Hemorrhage

GradeHunt-Hess ScaleWFNS Scale
1Mild headache, normal mental status, no cranial nerve or motor findingsGCSa score 15, no motor deficits
2Severe headache, normal mental status, may have cranial nerve deficitGCS score 13-14, no motor deficits
3Somnolent, confused, may have cranial nerve or mild motor deficitGCS score 13-14, with motor deficits
4Stupor, moderate to severe motor deficit, may have intermittent reflex posturingGCS score 7-12, with or without motor deficits
5Coma, reflex posturing or flaccidGCS score 3-6, with or without motor deficits

aGlasgow Coma Scale; see Table 19-2. .

Abbreviation: WFNS, World Federation of Neurosurgical Societies.