1a: Level of Consciousness

Alert+0Not alert; arousable by minor stimulation+1Not alert; requires repeated stimulation+2Unresponsive or responds only with reflexes+3

1b: LOC Questions (Month, Age)

Answers both correctly+0Answers one correctly+1Answers neither correctly+2

1c: LOC Commands (Open/close eyes, Grip/release hand)

Performs both correctly+0Performs one correctly+1Performs neither correctly+2

2: Best Gaze

Normal+0Partial gaze palsy+1Forced deviation+2

3: Visual Fields

No visual loss+0Partial hemianopia+1Complete hemianopia+2Bilateral hemianopia+3

4: Facial Palsy

Normal symmetric movements+0Minor paralysis (flattened nasolabial fold)+1Partial paralysis (total or near-total paralysis of lower face)+2Complete paralysis (one or both sides)+3

5a: Motor Arm - Left

5b: Motor Arm - Right

6a: Motor Leg - Left

6b: Motor Leg - Right

7: Limb Ataxia

Absent+0Present in one limb+1Present in two limbs+2

8: Sensory

Normal+0Mild-to-moderate sensory loss+1Severe to total sensory loss+2

9: Best Language

No aphasia+0Mild-to-moderate aphasia+1Severe aphasia+2Global aphasia / Mute+3

10: Dysarthria

Normal+0Mild-to-moderate dysarthria+1Severe dysarthria (unintelligible)+2

11: Extinction and Inattention (Neglect)

No abnormality+0Visual, tactile, auditory, or spatial inattention+1Profound hemi-inattention / Extinction to more than one modality+2

NIH Stroke Scale (NIHSS)

NIH Stroke Scale (NIHSS)