NIH Stroke Scale
NIH Stroke Scale
Study online at https://quizlet.com/_j6s516
1. 1A - Level of con- 0 - Alert; keenly responsive
sciousness 1 - Arouses to minor stimulation
2 - Requires repeated stimulation to arouse
2 - Movements to pain
3 - Postures or unresponsive
2. 1B - Ask month 0 - Both questions right
and age 1 - One question right
1 - Dysarthric, intubated, trauma, or language barrier
2 - Aphasic
3. 1C - "Blink eyes" 0 - Performs both tasks
and "Squeeze 1 - Performs one task
hands" 2 - Performs neither task
4. 2 - Test horizontal 0 - Normal
extraocular mus- 1 - Partial gaze palsy: can be overcome
cles 1 - Partial gaze palsy: corrects with oculocephalic reflex
2 - Forced gaze palsy: can not be overcome
5. 3 - Test visual 0 - No visual loss
fields 1 - Partial hemianopia
2 - Complete hemianopia
3 - Patient is bilaterally blind
3 - Bilateral hemianopia
6. 4 - Test facial pal- 0 - Normal symmetry
sy (use grimace if 1 - Minor paralysis (flat nasolabial fold, asymmetric smile)
obtunded) 2 - Partial paralysis (lower face)
3 - Unilateral complete paralysis (upper/lower face)
3 - Bilateral complete paralysis
7.
1/4
Page 1 of 4
NIH Stroke Scale
Study online at https://quizlet.com/_j6s516
1. 1A - Level of con- 0 - Alert; keenly responsive
sciousness 1 - Arouses to minor stimulation
2 - Requires repeated stimulation to arouse
2 - Movements to pain
3 - Postures or unresponsive
2. 1B - Ask month 0 - Both questions right
and age 1 - One question right
1 - Dysarthric, intubated, trauma, or language barrier
2 - Aphasic
3. 1C - "Blink eyes" 0 - Performs both tasks
and "Squeeze 1 - Performs one task
hands" 2 - Performs neither task
4. 2 - Test horizontal 0 - Normal
extraocular mus- 1 - Partial gaze palsy: can be overcome
cles 1 - Partial gaze palsy: corrects with oculocephalic reflex
2 - Forced gaze palsy: can not be overcome
5. 3 - Test visual 0 - No visual loss
fields 1 - Partial hemianopia
2 - Complete hemianopia
3 - Patient is bilaterally blind
3 - Bilateral hemianopia
6. 4 - Test facial pal- 0 - Normal symmetry
sy (use grimace if 1 - Minor paralysis (flat nasolabial fold, asymmetric smile)
obtunded) 2 - Partial paralysis (lower face)
3 - Unilateral complete paralysis (upper/lower face)
3 - Bilateral complete paralysis
7.
1/4
Page 1 of 4
