NIHSS Group C Patient 1-6 Answer Key
Patient Answers
1a: 0 – alert, 1b: 2 – neither correct, 1c: 1 – performs one task
correctly, 2: 0 – normal, 3: 2 – severe, 4: 1 – minor paralysis,
Patient 5a: 0 – no drift, 5b: 4 – no movement, 6a: 0 – no drift, 6b: 4 –
1 no movement, 7: 1 – present in one limb, 8: 2 – severe or total
sensory loss, 9: 2 – severe aphasia, 10: 1 – mild to moderate
dysarthria, 11: 1 – complete neglect
1a: 0 – alert, 1b: 0 – answers both correctly, 1c: 0 – performs
both tasks correctly, 2: 0 – normal, 3: 0 – no visual loss, 4: 0 –
Patient normal symmetrical movement, 5a: 0 – no drift, 5b: 0 – no
2 drift, 6a: 1 – mild drift, 6b: 2 – some efforts against gravity, 7:
0 – absent, 8: 1 – mild to moderate sensory loss, 9: 0 – normal,
no aphasia, 10: 0 – normal, 11: 0 – no abnormality
1a: 0 – alert, 1b: 0 – answers both correctly, 1c: 0 – performs
both tasks correctly, 2: 0 – normal, 3: 0 – no visual loss, 4: 1 –
Patient minor paralysis, 5a: 0 – no drift, 5b: 0 – no drift, 6a: 1 – drifts,
3 does not hit bed, 6b: 0 – no drift, 7: 1 – present in one limb, 8:
1 – mild to moderate sensory loss, 9: 0 – normal, no aphasia,
10: 0 – normal, 11: 0 – no abnormality
1a: 0 – alert, 1b: 0 – answers both correctly, 1c: 0 – performs
both tasks correctly, 2: 0 – normal, 3: 0 – no visual loss, 4: 1 –
Patient minor paralysis, 5a: 1 – drift, does not hit bed, 5b: 0 – no drift,
4 6a: 1 – drifts, does not hit bed, 6b: 0 – no drift, 7: 2 – present
in two limbs, 8: 1 – mild to moderate sensory loss, 9: 0 –
normal, no aphasia, 10: 0 – normal, 11: 0 – no abnormality
1a: 1 – not alert, but arousable, 1b: 0 – answers both correctly,
1c: 0 – performs both tasks correctly, 2: 1 – partial gaze palsy,
3: 1 – parietal, 4: 0 – normal, 5a: 2 – drifts to hit bed, 5b: 0 –
Patient
no drift, 6a: 2 – drifts to hit bed, 6b: 1 – drifts, does not hit
5
bed, 7: 2 – present in two limbs, 8: 1 – mild to moderate
sensory loss, 9: 1 – mild to moderate aphasia, 10: 1 – mild to
moderate dysarthria, 11: 0 – no abnormality
1a: 0 – alert, 1b: 1, 1c: 0, 2: 0 – normal, 3: 0 – no visual loss, 4:
0 – normal, 5a: 0 – no drift, 5b: 1 – drifts, does not hit bed, 6a:
Patient
0 – no drift, 6b: 1 – drifts, does not hit bed, 7: 0 – absent, 8: 0
6
– normal, 9: 0 – normal, no aphasia, 10: 1 – mild to moderate
dysarthria, 11: 0 – no abnormality
Patient Answers
1a: 0 – alert, 1b: 2 – neither correct, 1c: 1 – performs one task
correctly, 2: 0 – normal, 3: 2 – severe, 4: 1 – minor paralysis,
Patient 5a: 0 – no drift, 5b: 4 – no movement, 6a: 0 – no drift, 6b: 4 –
1 no movement, 7: 1 – present in one limb, 8: 2 – severe or total
sensory loss, 9: 2 – severe aphasia, 10: 1 – mild to moderate
dysarthria, 11: 1 – complete neglect
1a: 0 – alert, 1b: 0 – answers both correctly, 1c: 0 – performs
both tasks correctly, 2: 0 – normal, 3: 0 – no visual loss, 4: 0 –
Patient normal symmetrical movement, 5a: 0 – no drift, 5b: 0 – no
2 drift, 6a: 1 – mild drift, 6b: 2 – some efforts against gravity, 7:
0 – absent, 8: 1 – mild to moderate sensory loss, 9: 0 – normal,
no aphasia, 10: 0 – normal, 11: 0 – no abnormality
1a: 0 – alert, 1b: 0 – answers both correctly, 1c: 0 – performs
both tasks correctly, 2: 0 – normal, 3: 0 – no visual loss, 4: 1 –
Patient minor paralysis, 5a: 0 – no drift, 5b: 0 – no drift, 6a: 1 – drifts,
3 does not hit bed, 6b: 0 – no drift, 7: 1 – present in one limb, 8:
1 – mild to moderate sensory loss, 9: 0 – normal, no aphasia,
10: 0 – normal, 11: 0 – no abnormality
1a: 0 – alert, 1b: 0 – answers both correctly, 1c: 0 – performs
both tasks correctly, 2: 0 – normal, 3: 0 – no visual loss, 4: 1 –
Patient minor paralysis, 5a: 1 – drift, does not hit bed, 5b: 0 – no drift,
4 6a: 1 – drifts, does not hit bed, 6b: 0 – no drift, 7: 2 – present
in two limbs, 8: 1 – mild to moderate sensory loss, 9: 0 –
normal, no aphasia, 10: 0 – normal, 11: 0 – no abnormality
1a: 1 – not alert, but arousable, 1b: 0 – answers both correctly,
1c: 0 – performs both tasks correctly, 2: 1 – partial gaze palsy,
3: 1 – parietal, 4: 0 – normal, 5a: 2 – drifts to hit bed, 5b: 0 –
Patient
no drift, 6a: 2 – drifts to hit bed, 6b: 1 – drifts, does not hit
5
bed, 7: 2 – present in two limbs, 8: 1 – mild to moderate
sensory loss, 9: 1 – mild to moderate aphasia, 10: 1 – mild to
moderate dysarthria, 11: 0 – no abnormality
1a: 0 – alert, 1b: 1, 1c: 0, 2: 0 – normal, 3: 0 – no visual loss, 4:
0 – normal, 5a: 0 – no drift, 5b: 1 – drifts, does not hit bed, 6a:
Patient
0 – no drift, 6b: 1 – drifts, does not hit bed, 7: 0 – absent, 8: 0
6
– normal, 9: 0 – normal, no aphasia, 10: 1 – mild to moderate
dysarthria, 11: 0 – no abnormality
