Item | NIHSS | mNIHSS | Score |
---|---|---|---|
1a | LOC | [deleted] | 0 = Alert 1 = Arousable by minor stimulation 2 = Arousable by strong/repeated stimulation 3 = Unresponsive |
1b | LOC questions | 0 = Answers both correctly 1 = Answers one correctly 2 = Answers neither correctly | |
1c | LOC Commands | 0 = Performs both tasks correctly 1 = Performs one task correctly 2 = Performs neither task | |
2 | Gaze | 0 = Normal 1 = Parial gaze pulsy 2 = Forced deviation | |
3 | Visual | 0 = Normal 1 = Partial hemianopia 2 = Complete hemianopia 3 = Bilateral hemianopia | |
4 | Facial Palsy | [deleted] | 0 = Normal 1 = Minor 2 = Parial 3 = Complete |
5a | Motor Arm (left) | 0 = No drift 1 = Drift before 10s 2 = Falls before 10s 3 = No effort against gravity 4 = No movement UN = Amputation or joint fusion explain: | |
5b | Motor Arm (right) | ||
6a | Motor Leg (left) | ||
6b | Motor Leg (right) | ||
7 | Limb Ataxia | [deleted] | 0 = Absent 1 = In one limb 2 = In two Limb UN = Amputation or joint fusion |
8 | Sensory | In NIHSS: 0 = Normal 1 = Mild-to-Moderate loss 2 = Severe to total loss In mNIHSS: 0 = Normal 1 = Abnormal | |
9 | Language | 0 = Normal 1 = Mild-to-Moderate aphasia 2 = Severe aphasia 3 = Mute or global aphasia | |
10 | Dysarthria | [deleted] | 0 = Normal 1 = Mild-to-Moderate 2 = Severe UN=Intubated |
11 | Extinction and Inattention | 0 = Normal 1 = Visual, tactile, auditory, spatial, or personal inattention 2 = Profound hemi-inattention or extinction to more than one modality |