Cns 3 avpu 3 Glasgow Coma Scale 3 Simplified Motor Score 3 Subarachnoid Hemorrhage 4 Intracerebral Hemorrhage Score 4 Stroke Scores 6 nih stroke Scale 6 Modified Rankin Scale 7 tia score 7 Abbreviated mental test score 8 Airway 8



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Intracerebral Hemorrhage Score



Intracerebral Hemorrhage (ICH) Score




Finding

Points

age in years

 

 



< 45 years of age

1

45 to 64 years of age

2

>= 65 years of age

3

Glasgow coma score

 

 



13, 14 or 15

1

9, 10, 11 or 12

2

<= 8

3

location

 


supratentorial

1

infratentorial

2

volume

 

 



supratentorial and < 40 mL

1

supratentorial and 40 to 70 mL

2

supratentorial and > 70 mL

3

infratentorial and < 10 mL

1

infratentorial and 10 to 20 mL

2

infratentorial and > 20 mL

3

ventricular extension

 


absent

1

present

2

Score >9 associated with <5% good outcome at 30 days, score of 8-9 ~20% good outcome, score 7, 70% good outcome and score 5-6, 75-80% good outcome.6

Stroke Scores

NIH Stroke Scale


Level of Consciousness

 


alert

0

not alert, obtunded

2

unresponsive

3

Questions

 

 



answers both correctly

0

answers one question correctly

1

answers neither question correctly

2

Commands

 

 



performs both tasks correctly

0

performs one task correctly

1

performs neither task correctly

2

Gaze

 

 



normal

0

partial gaze palsy

1

total gaze palsy

2

Visual Fields

 

 



 

no visual loss

0

partial hemianopsia

1

complete hemianopsia

2

bilateral hemianopsia

3

Facial Palsy

 

 



 

normal

0

minor paralysis

1

partial paralysis

2

complete paralysis

3

Motor Left Arm


no drift

0

Motor Right Arm

no drift

0

drift before 10 seconds

1

drift before 10 seconds

1

falls before 10 seconds

2

falls before 10 seconds

2

no effort against gravity

3

no effort against gravity

3

no movement

4

no movement

4

Motor Left Leg

 

 



no drift

0

Motor Right Leg

no drift

0

drift before 5 seconds

1

drift before 5 seconds

1

falls before 5 seconds

2

falls before 5 seconds

2

no effort against gravity

3

no effort against gravity

3

no movement

4

no movement

4

Ataxia

 

 



absent

0

one limb

1

two limbs

2

Sensory

 

 



normal

0

mild loss

1

severe loss

2

Language

 

 



 

normal

0

mild aphasia

1

severe aphasia

2

mute or global aphasia

3

Dysarthria

 

 



normal

0

mild

1

severe

2

Extinction Inattention

 


normal

0

mild

1

severe

2

The level of stroke severity as measured by the NIH stroke scale scoring system:

0= no stroke

1-4= minor stroke

5-15= moderate stroke

15-20= moderate/severe stroke

21-42= severe stroke


Modified Rankin Scale


SCORE

DESCRIPTION

0

No symptoms at all

1

No significant disability despite symptoms; able to carry out all usual duties and activities

2

Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance

3

Moderate disability; requiring some help, but able to walk without assistance

4

Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance

5

Severe disability; bedridden, incontinent and requiring constant nursing care and attention

6

Dead






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