NIHSS
1a. Level of Consciousness
Alert, keenly responsive
0
Arousable by minor stimulation
+1
Arousable by repeated stimulation
+2
Postural responses or unresponsive
+3
1b. Ask month and age
Answers both questions correctly
0
Answers one question correctly
+1
Answers neither question correctly
+2
1c. Blink eyes & squeeze hands
Performs both tasks correctly
0
Performs one task correctly
+1
Performs neither task correctly
+2
2. Horizontal gaze
Forced deviation or total gaze paresis
+2
3. Visual
Bilateral hemianopia/blindness
+3
4. Facial Palsy
Minor paralysis (eg. nasolabial fold)
+1
Partial paralysis (lower face)
+2
Complete paralysis of one or both sides
+3
5a. Motor - Left Arm
No drift for 10 seconds
0
Drift but does not hit bed
+1
Some effort against gravity
+2
No effort against gravity
+3
Amputation/joint fusion
0
5b. Motor - Right Arm
No drift for 10 seconds
0
Drift but does not hit bed
+1
Some effort against gravity
+2
No effort against gravity
+3
Amputation/joint fusion
0
6a. Motor - Left Leg
No drift at 30 degrees for 5 seconds
0
Drift but does not hit bed
+1
Some effort against gravity
+2
No effort against gravity
+3
Amputation/joint fusion
0
6b. Motor - Right Leg
No drift at 30 degrees for 5 seconds
0
Drift but does not hit bed
+1
Some effort against gravity
+2
No effort against gravity
+3
Amputation/joint fusion
0
7. Limb Ataxia
Amputation/does not understand
0
8. Sensory
9. Aphasia
Severe aphasia, incomprehensible
+2
Mute, global aphasia or unresponsive
+3
10. Dysarthria
Mild/moderate dysarthria
+1
Intubated or other physical barrier
0
11. Extinction & Inattention
Visual/tactile/auditory/spatial/personal
inattention
+1
Profound hemi-inattention
+2