The National Institutes of Health Stroke Scale (NIHSS) is an evaluation tool used to measure and assess the neurological severity of a stroke. It consists of fifteen parameters obtained through clinical neurological assessment.
To measure and assess the neurological severity of a stroke.
Use to measure and assess the neurological severity of a stroke. It consists of fifteen parameters obtained through clinical neurological assessment: - 1a. Level of consciousness (LOC) responsiveness (0-3p) - 1b. Level of consciousness questions (0-2p) - 1c. Level of conciousness commands (0-2p) - 2. Horizontal eye movement (0-2p) - 3. Visual (0-3p) - 4. Facial palsy (0-3p) - 5a. Left arm motor (0-4p) - 5b. Right arm motor (0-4p) - 6a. Left leg motor (0-4p) - 6b. Right leg motor (0-4p) - 7. Limb ataxia (0-2p) - 8. Sensory (0-2p) - 9. Best language (0-3p) - 10. Dysarthria (0-2p) - 11. Extinction/Inattention (0-2p) The maximum score is 42p. Increasing NIHSS scores are consistent with severe neurological impairment.
Aside from \"9. Best language\", all parameters should be rated by the first response.
1. Lyden P, Brott T, Tilley B, Welch KM, Mascha EJ, Levine S, Haley EC, Grotta J, Marler J. Improved reliability of the NIH Stroke Scale using video training. NINDS TPA Stroke Study Group. Stroke. 1994 Nov;25(11):2220-6. doi: 10.1161/01.str.25.11.2220. PMID: 7974549.
openEHR-EHR-OBSERVATION.nihss