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Table 3 NIHSS and mNIHSS score system

From: Sevoflurane versus PRopofol combined with Remifentanil anesthesia Impact on postoperative Neurologic function in supratentorial Gliomas (SPRING): protocol for a randomized controlled trial

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

  1. NIHSS National Institute of Health stroke scale, mNIHSS modified National Institute of Health stroke scale, LOC Level of Consciousness
  2. The total score in NIHSS and mNIHSS are 42 and 31 respectively