Neurology

NIHSS

National Institutes of Health Stroke Scale. Standardized neurological examination scoring 15 items (range 0–42) to quantify acute stroke deficit, monitor evolution, and guide reperfusion decisions.

01 / Clinical inputsComplete the fields below

1a — Level of consciousness

1b — LOC questions (month, age)

1c — LOC commands (open/close eyes, grip)

2 — Best gaze

3 — Visual fields

4 — Facial palsy

5a — Motor arm: LEFT

5b — Motor arm: RIGHT

6a — Motor leg: LEFT

6b — Motor leg: RIGHT

7 — Limb ataxia

8 — Sensory

9 — Best language

10 — Dysarthria

11 — Extinction & inattention

The original source

Brott T, Adams HP Jr, Olinger CP, Marler JR, Barsan WG, Biller J, Spilker J, Holleran R, Eberle R, Hertzberg V, et al.. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1989.

PMID 2749846 Ask House about this

The clinical toolkit

Clinical calculators.

Clinical scoring at the point of care. Validated algorithms, original published sources, mobile-first.