NIH Stroke Scale

Total Score: 0

 

---

Level of consciousness AlertArousable by minor stimulation
Required repeated stimulation or painResponds only with reflex movement, or no response
2 Questions Answers bothAnswers One correctlyAnswers neither correctly 2 Commands Performs bothPerforms One correctlyPerforms neither correctly Best Gaze Normal gazePartial gaze palsyForced deviation, not overcome by oculocephalic motion Visual Field No Visual lossPartial hemianopsia
Complete HemianopsiaBilateral Hemianopsia
Facial Palsy Symmetric movementsMinor paralysis
Partial paralysisComplete paralysis 1 or both sides
Motor Left arm No driftDriftSome effort against gravity
No effort against gravityNo movement
Motor Right arm No driftDriftSome effort against gravity
No effort against gravityNo movement
Motor Left leg No driftDriftSome effort against gravity
No effort against gravityNo movement
Motor Right leg No driftDriftSome effort against gravity
No effort against gravityNo movement
Limb Ataxia No ataxia or untestable explainAtaxia in 1 limbAtaxia in 2 limbs Sensory No sensory lossMild to moderate lossSevere or total loss, or coma Best Language No aphasiaMild to Moderate aphasia
Severe AphasiaMute, global aphasia
Dysarthria No dysarthria or untestable, explainSlurrs some wordsUnintelligible Extinction NormalVisual, touch, or personal inattentionProfound hemi-inattention or extinction