NIH STROKE SCALE (NIHSS) - ALL TEST GROUPS A-F
Complete Answer Key for Patients 1-6
OFFICIAL NIHSS SCORING REFERENCE TABLE
Item 0 1 2 3 4
Not alert,
Not alert, Unresponsiv
1a. LOC Alert but -
obtunded e
arousable
Both One
1b. LOC Questions Neither correct - -
correct correct
Both One
1c. LOC Commands Neither correct - -
correct correct
Partial
2. Best Gaze Normal Forced deviation - -
gaze palsy
Partial
No visual Complete Bilateral
3. Visual hemianopi -
loss hemianopia hemianopia
a
Minor Complete
4. Facial Palsy Normal Partial paralysis -
paralysis paralysis
No
Drift (10 Some effort vs No effort vs
5a/5b. Motor Arm No drift moveme
sec) gravity gravity
nt
No
Drift (5 No effort vs
6a/6b. Motor Leg No drift Falls, some effort moveme
sec) gravity
nt
,Item 0 1 2 3 4
Ataxia in 1
7. Limb Ataxia No ataxia Ataxia in 2 limbs - -
limb
Mild
Severe sensory
8. Sensory Normal sensory - -
loss
loss
Mild- Mute,
No
9. Best Language moderate Severe aphasia global -
aphasia
aphasia aphasia
Normal
Mild- Severe/unintelligib
10. Dysarthria articulatio - -
moderate le
n
11.
Mild (1 Profound (>1
Extinction/Inattenti Absent - -
modality) modality)
on
GROUP A – PATIENTS 1-6
PATIENT 1
Item Score
1a 0
1b 0
1c 0
2 0
3 0
4 1
,Item Score
5a 3
5b 0
6a 1
6b 0
7 1
8 2
9 0
10 0
11 1
TOTAL 9
PATIENT 2
Item Score
1a 0
1b 2
1c 0
2 0
3 0
4 1
5a 0
5b 0
6a 0
, Item Score
6b 0
7 0
8 1
9 2
10 1
11 0
TOTAL 7
PATIENT 3
Item Score
1a 0
1b 0
1c 0
2 0
3 0
4 1
5a 0
5b 0
6a 2
6b 2
7 0
8 1
Complete Answer Key for Patients 1-6
OFFICIAL NIHSS SCORING REFERENCE TABLE
Item 0 1 2 3 4
Not alert,
Not alert, Unresponsiv
1a. LOC Alert but -
obtunded e
arousable
Both One
1b. LOC Questions Neither correct - -
correct correct
Both One
1c. LOC Commands Neither correct - -
correct correct
Partial
2. Best Gaze Normal Forced deviation - -
gaze palsy
Partial
No visual Complete Bilateral
3. Visual hemianopi -
loss hemianopia hemianopia
a
Minor Complete
4. Facial Palsy Normal Partial paralysis -
paralysis paralysis
No
Drift (10 Some effort vs No effort vs
5a/5b. Motor Arm No drift moveme
sec) gravity gravity
nt
No
Drift (5 No effort vs
6a/6b. Motor Leg No drift Falls, some effort moveme
sec) gravity
nt
,Item 0 1 2 3 4
Ataxia in 1
7. Limb Ataxia No ataxia Ataxia in 2 limbs - -
limb
Mild
Severe sensory
8. Sensory Normal sensory - -
loss
loss
Mild- Mute,
No
9. Best Language moderate Severe aphasia global -
aphasia
aphasia aphasia
Normal
Mild- Severe/unintelligib
10. Dysarthria articulatio - -
moderate le
n
11.
Mild (1 Profound (>1
Extinction/Inattenti Absent - -
modality) modality)
on
GROUP A – PATIENTS 1-6
PATIENT 1
Item Score
1a 0
1b 0
1c 0
2 0
3 0
4 1
,Item Score
5a 3
5b 0
6a 1
6b 0
7 1
8 2
9 0
10 0
11 1
TOTAL 9
PATIENT 2
Item Score
1a 0
1b 2
1c 0
2 0
3 0
4 1
5a 0
5b 0
6a 0
, Item Score
6b 0
7 0
8 1
9 2
10 1
11 0
TOTAL 7
PATIENT 3
Item Score
1a 0
1b 0
1c 0
2 0
3 0
4 1
5a 0
5b 0
6a 2
6b 2
7 0
8 1
