APEX NIH Stroke Scale Group A Patient 1-6
NIHSS Stroke Severity & Deficit Analysis: Group A
- all 6-Patient Clinical Case Series | Latest Edition -
Spring 2026 (Brand New Edition!!)
Patient 1
Total Score: 9
Severity: Moderate Stroke
Dominant Deficit Pattern: Severe left arm weakness, moderate sensory
loss, mild neglect, and mild ataxia.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 0 Answers both correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry (e.g.,
flattened nasolabial fold).
5a Motor Arm (Left) 3 Significant: Arm falls immediately;
no effort against gravity.
5b Motor Arm (Right) 0 No drift; normal strength.
6a Motor Leg (Left) 1 Mild drift; leg falls before 5 seconds
but does not hit bed.
6b Motor Leg (Right) 0 No drift; normal strength.
7 Limb Ataxia 1 Ataxia present in one limb.
8 Sensory 2 Severe: Total or near-total sensory
loss in affected areas.
9 Best Language 0 No aphasia; normal
fluency/comprehension.
10 Dysarthria 0 Normal articulation.
11 Extinction/Neglect 1 Mild inattention or extinction to one
sensory modality.
pg. 1
, Patient 2
Total Score: 7
Severity: Moderate Stroke
Dominant Deficit Pattern: Moderate aphasia with dysarthria, mild
facial weakness, and mild sensory loss. Notably, no motor weakness in the
limbs.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 2 Significant: Answers neither
question correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry.
5a Motor Arm (Left) 0 No drift; normal strength.
5b Motor Arm (Right) 0 No drift; normal strength.
6a Motor Leg (Left) 0 No drift; normal strength.
6b Motor Leg (Right) 0 No drift; normal strength.
7 Limb Ataxia 0 No ataxia.
8 Sensory 1 Mild-to-moderate sensory loss
(dulled sensation).
9 Best Language 2 Significant: Severe aphasia;
fragmented, effortful speech.
10 Dysarthria 1 Mild-to-moderate slurring; speech is
still understandable.
11 Extinction/Neglect 0 No neglect or inattention.
pg. 2
NIHSS Stroke Severity & Deficit Analysis: Group A
- all 6-Patient Clinical Case Series | Latest Edition -
Spring 2026 (Brand New Edition!!)
Patient 1
Total Score: 9
Severity: Moderate Stroke
Dominant Deficit Pattern: Severe left arm weakness, moderate sensory
loss, mild neglect, and mild ataxia.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 0 Answers both correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry (e.g.,
flattened nasolabial fold).
5a Motor Arm (Left) 3 Significant: Arm falls immediately;
no effort against gravity.
5b Motor Arm (Right) 0 No drift; normal strength.
6a Motor Leg (Left) 1 Mild drift; leg falls before 5 seconds
but does not hit bed.
6b Motor Leg (Right) 0 No drift; normal strength.
7 Limb Ataxia 1 Ataxia present in one limb.
8 Sensory 2 Severe: Total or near-total sensory
loss in affected areas.
9 Best Language 0 No aphasia; normal
fluency/comprehension.
10 Dysarthria 0 Normal articulation.
11 Extinction/Neglect 1 Mild inattention or extinction to one
sensory modality.
pg. 1
, Patient 2
Total Score: 7
Severity: Moderate Stroke
Dominant Deficit Pattern: Moderate aphasia with dysarthria, mild
facial weakness, and mild sensory loss. Notably, no motor weakness in the
limbs.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 2 Significant: Answers neither
question correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry.
5a Motor Arm (Left) 0 No drift; normal strength.
5b Motor Arm (Right) 0 No drift; normal strength.
6a Motor Leg (Left) 0 No drift; normal strength.
6b Motor Leg (Right) 0 No drift; normal strength.
7 Limb Ataxia 0 No ataxia.
8 Sensory 1 Mild-to-moderate sensory loss
(dulled sensation).
9 Best Language 2 Significant: Severe aphasia;
fragmented, effortful speech.
10 Dysarthria 1 Mild-to-moderate slurring; speech is
still understandable.
11 Extinction/Neglect 0 No neglect or inattention.
pg. 2
