NIH Stroke Scale

Total Score: 0

 

---

Level of consciousness

Alert	Arousable by minor stimulation
Required repeated stimulation or pain	Responds only with reflex movement, or no response

2 Questions

Answers both

Answers One correctly

Answers neither correctly

2 Commands

Performs both

Performs One correctly

Performs neither correctly

Best Gaze

Normal gaze

Partial gaze palsy

Forced deviation, not overcome by oculocephalic motion

Visual Field

No Visual loss	Partial hemianopsia
Complete Hemianopsia	Bilateral Hemianopsia

Facial Palsy

Symmetric movements	Minor paralysis
Partial paralysis	Complete paralysis 1 or both sides

Motor Left arm

No drift	Drift	Some effort against gravity
No effort against gravity	No movement

Motor Right arm

No drift	Drift	Some effort against gravity
No effort against gravity	No movement

Motor Left leg

No drift	Drift	Some effort against gravity
No effort against gravity	No movement

Motor Right leg

No drift	Drift	Some effort against gravity
No effort against gravity	No movement

Limb Ataxia

No ataxia or untestable explain

Ataxia in 1 limb

Ataxia in 2 limbs

Sensory

No sensory loss

Mild to moderate loss

Severe or total loss, or coma

Best Language

No aphasia	Mild to Moderate aphasia
Severe Aphasia	Mute, global aphasia

Dysarthria

No dysarthria or untestable, explain

Slurrs some words

Unintelligible

Extinction

Normal

Visual, touch, or personal inattention

Profound hemi-inattention or extinction