NIH Stroke Scale (NIHSS) – Group C
Answer Key
Patients 1–6 | Updated 2025
NIH Stroke Scale – Group C (Complete)
Patient 1
1a: LOC – 0 (Alert)
1b: LOC Questions – 2 (Answers neither question correctly)
1c: LOC Commands – 1 (Performs one task correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 2 (Complete hemianopia)
4: Facial Palsy – 1 (Minor paralysis)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 4 (No movement)
6a: Motor Leg (Left) – 0 (No drift)
6b: Motor Leg (Right) – 4 (No movement)
7: Limb Ataxia – 1 (Ataxia present in one limb)
8: Sensory – 2 (Severe or total sensory loss)
9: Best Language – 2 (Severe aphasia)
10: Dysarthria – 1 (Mild to moderate dysarthria)
11: Extinction/Inattention – 1 (Complete neglect (extinction or inattention)
Total Score: 19
Patient 2
1a: LOC – 0 (Alert)
1b: LOC Questions – 0 (Answers both correctly)
1c: LOC Commands – 0 (Performs both tasks correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 0 (No visual loss)
4: Facial Palsy – 0 (Normal symmetrical movement)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 0 (No drift)
6a: Motor Leg (Left) – 1 (Drift, does not hit bed)
6b: Motor Leg (Right) – 2 (Some effort against gravity; limb cannot get to or
maintain position)
7: Limb Ataxia – 0 (Absent)
8: Sensory – 1 (Mild to moderate sensory loss)
9: Best Language – 0 (No aphasia)
Answer Key
Patients 1–6 | Updated 2025
NIH Stroke Scale – Group C (Complete)
Patient 1
1a: LOC – 0 (Alert)
1b: LOC Questions – 2 (Answers neither question correctly)
1c: LOC Commands – 1 (Performs one task correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 2 (Complete hemianopia)
4: Facial Palsy – 1 (Minor paralysis)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 4 (No movement)
6a: Motor Leg (Left) – 0 (No drift)
6b: Motor Leg (Right) – 4 (No movement)
7: Limb Ataxia – 1 (Ataxia present in one limb)
8: Sensory – 2 (Severe or total sensory loss)
9: Best Language – 2 (Severe aphasia)
10: Dysarthria – 1 (Mild to moderate dysarthria)
11: Extinction/Inattention – 1 (Complete neglect (extinction or inattention)
Total Score: 19
Patient 2
1a: LOC – 0 (Alert)
1b: LOC Questions – 0 (Answers both correctly)
1c: LOC Commands – 0 (Performs both tasks correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 0 (No visual loss)
4: Facial Palsy – 0 (Normal symmetrical movement)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 0 (No drift)
6a: Motor Leg (Left) – 1 (Drift, does not hit bed)
6b: Motor Leg (Right) – 2 (Some effort against gravity; limb cannot get to or
maintain position)
7: Limb Ataxia – 0 (Absent)
8: Sensory – 1 (Mild to moderate sensory loss)
9: Best Language – 0 (No aphasia)
