北京-杜万良-NIHSS评分要点

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1、NIHSS评分要点杜万良北京天坛医院神经内科2018.6.11原始版Stroke1989;20:864-870l.a.LevelofConsciousnessAlertDrowsyStuporousComa0123l.b.LOCQuestionsAnswersbothcorrectlyAnswersonecorrectlyIncorrect0121.c.LOCCommandsObeysbothcorrectlyObeysonecorrectlyIncorrect0122.PupillaryResponseBothreactiveOnereactiveNeith

2、erreactive0123.BestGazeNormalPartialgazepalsyForceddeviation0124.BestVisualNovisuallossPartialhemianopiaCompletehemianopia0125.FacialPalsyNormalMinorPartialComplete01236.BestMotorArmNOdriftDriftCan'tresistgravityNoeffortagainstgravity01237.BestMotorLegNOdriftDriftCan'tresist

3、gravityNoeffortagainstgravity01238.PlantarReflexNormalEquivocalExtensorBilateralextensor01239.LimbAtaxiaAbsentPresentinupperorlowerPresentinboth01210.SensoryNormalPartiallossDenseloss01211.NeglectNoneglectPartialneglectCompleteneglect01212.DysarthriaNormalarticulationMildtomo

4、deratedysarthriaNearunintelligibleorworse01213.BestLanguageNoaphasiaMildtomoderateaphasiaSevereaphasiaMute012314.ChangefromPreviousExamSameBetterWorseSBW15.ChangefromBaselineSameBetterWorseSBW现行版1aLevelofconsciousness0=Alert1=Notalert,arousable2=Notalert,obtunded3=Unresponsive3Visua

5、lfields0=Novisualloss1=Partialhemianopsia2=Completehemianopsia3=Bilateralhemianopsia6aLeftmotorleg0=Nodrift1=Driftbefore5s2=Fallsbefore5s3=Noeffortagainstgravity4=Nomovement9Language0=Normal1=Mildaphasia2=Severeaphasia3=Muteorglobalaphasia1bQuestions0=Answersbothcorrectly1=Answersonecorrectly2=Answer

6、sneithercorrectly4Facialpalsy0=Normal1=Minorparalysis2=Partialparalysis3=Completeparalysis6bRightmotorleg0=Nodrift1=Driftbefore5s2=Fallsbefore5s3=Noeffortagainstgravity4=Nomovement10Dysarthria0=Normal1=Mild2=Severe1cCommands0=Performsbothtaskscorrectly1=Performsonetaskcorrectly2=Performsneithertask5

7、aLeftmotorarm0=Nodrift1=Driftbefore10s2=Fallsbefore10s3=Noeffortagainstgravity4=Nomovement7Ataxia0=Absent1=Onelimb2=Twolimbs11Extinction/inattention0=Normal1=Mild2=Severe2Gaze0=Normal1=Partialgazepalsy2=Tota