NIHSS

NIH Stroke Scale

Date:

Time:

1A: Level ofConsciousness (0-3) :

1B: Ask Month and Age (0-3) :

1C: Tell Patient To Open and Close Eyes, then Hand Grip Squeeze (0-2) :

2: Test Horizontal Extraocular Movements (0-2) :

3: Test Visual Fields (0-3) :

4: Test Facial Palsy (0-3) :

5A: Test Left Arm Motor Drift (0-4) :

5B: Test Right Arm Motor Drift (0-4) :

6A: Test Left Leg Motor Drift (0-4) :

6B: Test Right Leg Motor Drift (0-4) :

7: Test Limb Ataxia (0-2) :

8: Test Sensation (0-2) :

9: Test Language/Aphasia

10: Test Dysarthria (0-2) :

11: Test Extinction/InattentionĀ (0-2) :

NIHSS Total =