NIHSS Group D – Complete Patient Records 1 - 6
with Total Scores, Severity Classification, and
Detailed Descriptors | Latest Update 2026
Scoring Key for Severity Classification
0 = Normal / No deficit
1–4 = Minor deficit
5–15 = Moderate deficit
16–20 = Moderate to severe deficit
21–42 = Severe deficit
Patient 1
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal gaze
3: 0 – No visual loss
4: 0 – Normal symmetrical movement
5a: 0 – No drift (left arm)
5b: 0 – No drift (right arm)
6a: 0 – No drift (left leg)
6b: 1 – Drift, does not hit bed (right leg)
7: 0 – No ataxia
8: 1 – Mild to moderate sensory loss
9: 0 – No aphasia
10: 1 – Mild to moderate dysarthria
11: 0 – No inattention
Total Score: 3 – Minor deficit
pg. 1
, Patient 2
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal gaze
3: 0 – No visual loss
4: 1 – Minor paralysis
5a: 3 – No effort against gravity; limb falls (left arm)
5b: 0 – No drift (right arm)
6a: 1 – Drift, does not hit bed (left leg)
6b: 0 – No drift (right leg)
7: 0 – No ataxia
8: 2 – Severe or total sensory loss
9: 0 – No aphasia
10: 0 – Normal articulation
11: 2 – Complete inattention (hemi-inattention to more than one modality)
Total Score: 9 – Moderate deficit
Patient 3
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal gaze
3: 0 – No visual loss
4: 1 – Minor paralysis
5a: 0 – No drift (left arm)
5b: 0 – No drift (right arm)
6a: 0 – No drift (left leg)
6b: 0 – No drift (right leg)
7: 0 – No ataxia
8: 1 – Mild to moderate sensory loss
9: 0 – No aphasia
10: 0 – Normal articulation
11: 0 – No inattention
Total Score: 2 – Minor deficit
pg. 2
with Total Scores, Severity Classification, and
Detailed Descriptors | Latest Update 2026
Scoring Key for Severity Classification
0 = Normal / No deficit
1–4 = Minor deficit
5–15 = Moderate deficit
16–20 = Moderate to severe deficit
21–42 = Severe deficit
Patient 1
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal gaze
3: 0 – No visual loss
4: 0 – Normal symmetrical movement
5a: 0 – No drift (left arm)
5b: 0 – No drift (right arm)
6a: 0 – No drift (left leg)
6b: 1 – Drift, does not hit bed (right leg)
7: 0 – No ataxia
8: 1 – Mild to moderate sensory loss
9: 0 – No aphasia
10: 1 – Mild to moderate dysarthria
11: 0 – No inattention
Total Score: 3 – Minor deficit
pg. 1
, Patient 2
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal gaze
3: 0 – No visual loss
4: 1 – Minor paralysis
5a: 3 – No effort against gravity; limb falls (left arm)
5b: 0 – No drift (right arm)
6a: 1 – Drift, does not hit bed (left leg)
6b: 0 – No drift (right leg)
7: 0 – No ataxia
8: 2 – Severe or total sensory loss
9: 0 – No aphasia
10: 0 – Normal articulation
11: 2 – Complete inattention (hemi-inattention to more than one modality)
Total Score: 9 – Moderate deficit
Patient 3
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal gaze
3: 0 – No visual loss
4: 1 – Minor paralysis
5a: 0 – No drift (left arm)
5b: 0 – No drift (right arm)
6a: 0 – No drift (left leg)
6b: 0 – No drift (right leg)
7: 0 – No ataxia
8: 1 – Mild to moderate sensory loss
9: 0 – No aphasia
10: 0 – Normal articulation
11: 0 – No inattention
Total Score: 2 – Minor deficit
pg. 2
