NIH STroke Scale
lblDT
Total Score:
0
Baseline
2 hr post treatment
24 hours post treatment
7-10 days
3 months
Other
Patient ID
Level of consciousness
Alert
Arousable by minor stimulation
Required repeated stimulation or pain
Responds only with reflex movement, or no response
Two Questions:
Asked Month & Age
Answers both
Answers One correctly
Answers neither correctly
Two Commands:
Open & close eyes, Grip and release hand
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:
show teeth, close eyes
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
finger to nose, heel to shin
No ataxia
Ataxia in 1 limb
Ataxia in 2 limbs
Untestable, explain
Sensory
pin prick, pain rsponse
No sensory loss
Mild to moderate loss
Severe or total loss, or coma
Best language
describe picture, name item, read sentence
No aphasia
Mild to Moderate aphasia
Severe Aphasia
Mute, global aphasia
Dysarthria
read or repeat words
No dysarthria
Slurrs some words
Unintelligible
Untestable - explain
Extinction & Inattention
Normal
Visual, touch, or personal inattention
Profound hemi-inattention or extinction
Total Score:
0