Ver el código de «NIH Stroke Scale»

==Background==
*Intubation or limb pathology making categories not testable should be considered and potentially not scored.
*tPA candidate generally with NIHSS 4 - 22

==Scale==
===Level of Consciousness===
====1a General====
*Alert = 0<br> 
*Not alert, arousable to mild stimulation = 1 
*Not alert, arousable to significant stimulation = 2 
*Not alert; reflexic, autonomic or no response = 3 

====1b. Questions====
*Month and DOB
**Both correct = 0 
**One correct = 1 
**Zero correct = 2 

====1c. Commands====
*Open/close eyes &amp; squeeze/release hand:
**Both correct = 0 
**One correct = 1 
**Zero correct = 2 

===2. Best Gaze===
*Horizontal voluntary or oculocephalic reflex:
**Normal = 0 
**Partial gaze palsy = 1 
**Forced deviation or total gaze palsy = 2 

===3. Visual Fields===
*Normal = 0 
*Partial hemianopia = 1 
*Complete hemianopia = 2 
*Bilateral hemianopia or cortical blindness = 3 

===4. Facial Paralysis===
*Normal = 0 
*Minor, flat nasolabial fold = 1 
*Partial or total uni lower paralysis= 2 
*Complete paralysis 1 or both sides (upper &amp; lower) = 3 

===5. Motor Arm===
*10 seconds:
**No drift = 0 
**Some drift = 1 
**Falls, effort against gravity = 2 
**Falls, No effort against gravity = 3 
**No movement = 4 

===6. Motor Leg===
*5 seconds:
**No drift = 0 
**Some drift = 1 
**Falls, effort against gravity = 2 
**Falls, No effort against gravity = 3 
**No movement = 4 

===7. Limb ataxia===
*Absent = 0 
*One limb = 1 
*Two limb = 2 

===8. Sensory Loss===
*Arms, legs, trunk:
**Normal = 0 
**Present but altered = 1 
**Absent = 2 

===9. Best Language===
*Identification (picture or tactile), repetition, comprehension:
**No aphasia = 0 
**Mild to moderate = 1 
**Severe = 2 
**Mute/Global aphasia = 3 

===10. Dysarthria===
*None = 0 
*Mild to moderate = 1 
*Severe = 2 

===11. Extinction/Inattention===
*Neglect:
**None = 0 
**Loss of 1 modality (visual, tactile, auditory, spatial, personal) = 1 
**Profound hemi-inattention or more than 1 modality = 2
[[File:NIHSS pictures and words.gif|thumb|Language/aphasia and Dysarthria]]

==External Links==
*[http://www.mdcalc.com/modified-nih-stroke-scale-score-mnihss/ MDCalc - NIH Stroke Scale/Score]

==References==
<references/>
National Institute of Neurologic Disorders and Stroke 

==See Also==
*[[CVA (Main)]] for VAN score
*[[Thrombolysis_in_Acute_Ischemic_Stroke_(tPA)|tPA in Stroke]]

[[Category:Neurology]]