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NIH stroke scale 2023 Latest Update (RATED A)

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NIH stroke scale 2023 Latest Update (RATED A) 1a- Level of consciousness - ANSWER 0=Alert; keenly responsive 1=Not alert; but arousable by minor stimulation to obey, answer, or respond. 2=Not alert; requires repeated stimulation to attend or is obtunded and requires strong or painful stimulation to make movements (not stereotyped). 3=Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic. 1b- LOC questions - ANSWER 0=answers to questions correctly 1=Answers one questions correctly 2= Answers neither questions correctly 1c-LOC commands - ANSWER 0=Performs two tasks correctly 1=Perrforms one task correctly 2=Performs neither task correctly 2--Best Gaze - ANSWER 0=Normal 1=Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present 2=Forced deviation. or total gaze paresis not overcome by the oculocephalic maneuver. 3--Visual - ANSWER 0=No visual loss 1=partial hemianopia 2=complete hemianopia 3=bilateral hemianopia (blind including cortical blindness) 4--Facial Palsy - ANSWER 0=Normal symmetrical movements 1=Minor paralysis (flattened nasolabial fold, asymmetry on smiling) 2=Partial paralysis (total or near total paralysis of lower face) 3=Complete paralysis of one or both sides (absence of facial movement in the upper and lower face) 5


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