NIH Stroke Scale
Fifteen-item bedside quantification of stroke severity, scored 0–42.
When to use it. Measuring deficit severity in acute ischaemic stroke — at presentation, to track change, and as one input into thrombolysis and thrombectomy decisions.
本页的医疗安全信息以英文显示。它尚未经过能阅读简体中文的临床医生审核，而依赖无人核验的译文并不安全。
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Limits of this score. The NIHSS is weighted towards the left hemisphere: language carries far more points than neglect, so a large right-hemisphere or posterior-circulation stroke can score deceptively low. A low score is NOT on its own a reason to withhold reperfusion in a disabling deficit. Score what the patient does, not what you think they could do, and score the first attempt.
Sources
- Brott T, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1989;20:864–70.
- Powers WJ, et al. 2019 AHA/ASA Guidelines for the Early Management of Acute Ischemic Stroke. Stroke 2019;50:e344–418.
Where this is written from. This site is written from Indian clinical practice. Drug availability and brand names, vaccination schedules, national health programmes and some reference cut-offs differ between countries — a schedule or a threshold that is standard here may not be standard where you are. If you are reading outside India, check anything on this page against your own country’s guidance before you act on it.
Educational use only — not medical advice. Never a substitute for clinical judgement.